Joint Programme Narrative

Joint Programme Narrative Report

HIV Joint Programme on HIV and AIDS:

“Strengthening the HIV and AIDS Response in Mozambique”

REPORT COVER PAGE

Participating UN Organizations: Cluster/Theme/Priority/Area:

UNICEF, UNFPA, UNESCO, WHO, HIV Pillar
UNAIDS, UNDP, ILO, UNODC, WFP,
IOM, FAO, UNHCR, UNIFEM.
Prepared by
JP Coordinator

Programme No. And Programme Title: Report Number: 3

“Strengthening the HIV and AIDS
Response in Mozambique”

Reporting Period: Programmme Budget: US$30,527,480

January – December 2010 (2010)

List implementing Partners: Programme Coverage/Scope:

Refer to Annex I: Implementing Partners The programme is aligned with the 2009
National Accelerated Prevention Strategy

Abbreviations and acronyms: Programme Duration/Closed

Refer to Annex II: Abbreviations and Programme:
Acronyms January 2008 – December 2011

1
NARRATIVE REPORT FORMAT

I. Purpose
The HIV Joint Programme, which is the only Joint Programme (JP) of the HIV Pillar, has the overall
objective of strengthening the national response to HIV and AIDS; specifically it aims to ‘make individuals,
civil society, public and private institutions whether national or local, responsible for halting the spread of
HIV and AIDS amongst high risk populations and mitigate the impact (Result 3 of UNDAF 2010 - 2011,
Pillar on HIV and AIDS).

The UN support in the HIV domain has evolved together with the country’s own dynamics and priorities in
HIV. Effort has been made through previous years to align and harmonize with the government’s priorities
and strategies in order to provide support, using the UN’s comparative advantage in this sphere. Established
in 2008, the programme initially had only two components: Prevention, Youth and Integration of HIV and
AIDS and Gender, which was later expanded to include a third component focusing on Treatment. In 2009
the JP was aligned with the National Accelerated Prevention Strategy in recognition of the need to broaden
the scope of the programme to provide a more coherent, comprehensive and effective support, covering the
government main prevention areas. In that context the programme addressed the ten specific components of
the National Prevention Strategy, namely: (i) Counselling and Testing, (ii) Condoms, (iii) Most at Risk
Populations (MARPS), iv) male circumcision (v) Prevention of Mother to Child Transmission (PMTCT);
(vi) Access to Treatment and prolongation of life; vii) Communication for behaviour change; (viii)
Coordination of the National Response; (ix) Monitoring and Evaluation, and,(x) Mainstreaming of HIV and
gender.

for the ten components were grouped into six during the UNDAF bridge period (2010 – 2011) in order to
align more effectively with the main priority areas of the National Strategic Plan (2010 – 2014) developed in
2009. The programme therefore has presently six components reflecting the six HIV Pillar UNDAF
Outcomes: 1) Prevention, which includes: a) Counselling and testing; b) Communication for Development;
c) Most Vulnerable population groups; d) Male Circumcision (MC); and e) Adolescents and youngsters; 2)
Prevention of mother-to-child transmission (PMTCT);3) Treatment; 4) Impact Mitigation; 5) Incorporation
of HIV and AIDS and Gender and 6) Monitoring and Evaluation.

1) Prevention: This programme aims to ensure support to the Strategy for HIV Prevention Acceleration and
contains five specific action areas:
a) Counseling and Testing - support the expansion of counseling and testing activities by: i) integrating
these activities into the health professional’s routine, ii) expand the services to community level, iii)
include clinical staff in the National Health Service , and iv) greater social mobilization to promote
greater adherence to testing, subsequent services and treatment.
b) Communication for Development - Ensure the implementation of the National HIV Communication
Strategy and guarantee the production and dissemination of information about sexual minorities, such as:
Lesbians, Gays, Bisexuals, Transgender (LGBT).
.c) High Vulnerability Population Groups - Facilitate the development of programmes, strategies and
coordination mechanisms to promote health, focusing on the reduction of HIV transmission among high
risk populations.
d) Male Circumcision (MC) - Encourage safe and hygienic male circumcision practices to reduce
sexually transmitted infections.
e) Adolescents and youngsters – Build the capacity of youth organizations and facilitate the
participation of young people in provincial and district forums, community committees and school
councils. Additionally, support the implementation of youth communication programmes in eight
provinces, through the National Youth Councils, as well as the expansion of Life Skills extra-curricular
activities on PLWHIV awareness for children and adolescents aged ten to fourteen.

2) Prevention of mother-to-child transmission (PMTCT) – Create more demand for, usage and access to
Prevention of mother-to-child transmission services, by using community strategies which increase
awareness about the importance of PMTCT, the health of the mother and child and the impact of the
2
mother’s survival on the family.

3) Treatment - Build capacity in the health sector and its partners to improve the quality of HIV and AIDS
services offered, and the usage of existing resources to support the component of care and nutritional
support.

4) Mitigation - Provide support to the Ministry of Women and Social Action and other relevant ministries to
ensure access for at least 205,000 orphaned and vulnerable children and their families, to social protection
and the six basic services outlined in the National Plan of Action for Orphans and Vulnerable Children (food
and nutrition, health, education, psychosocial care and support, legal, and financial support). Advocate to
guarantee the inclusion of vulnerable children’s special needs into national policies.

5) Mainstreaming of HIV, AIDS and Gender - Create necessary mechanisms to ensure the effective
integration of HIV, AIDS and Gender in all national strategies and plans.

6) Monitoring and Evaluation – Support the development and usage of standard monitoring and evaluation
mechanisms and carry out studies and analysis on the HIV response, therefore establishing and
consolidating common report and monitoring mechanisms for the financial costs of HIV and AIDS

The number of agencies integrating the Joint Programme has expanded from nine in 2009 to twelve in 2010,
namely: UNICEF, UNFPA, UNESCO, WHO, UNAIDS, UNDP, ILO, UNODC, WFP, IOM, FAO,
UNHCR and UNIFEM. Each agency interacts with a variety of partners ranging from government
institutions to civil society, private sector and community-based organizations (Annex 1)

II. Resources
Financial Resources:
The 2010 Work Plan was estimated to be US$ 30,527,480. A total of US$ 20,190,259 was made available
for the implementation of the activities planned for 2010. From this amount US$ 4,998,000 was contributed
by the One Fund, and US$ 15,192,259 from UN Agencies’ own resources. The implementation rate
achieved by December 2010 was 86%.

Total Planned: US$ 30,527,480

Total Allocated: US$ 20,190,259
Total Agencies Contribution US$ 15,192,259
Total One Fund Contribution US$ 4,998,000
Total Unfunded US$ 10,337,221

Human Resources:
UNAIDS is the agency responsible for leading and coordinating the JP and has a dedicated staff
responsible for this task. In terms of implementing JP activities for the JP implementing agencies, each of
the 13 agencies have nominated a representative, at the UNTTAM and JP level.

III. Implementation and Monitoring Arrangements

The HIV JP is coordinated by UNAIDS and it is operationalized by the United Nations Technical Team on
Aids in Mozambique (UNTTAM), through its existing structure of six thematic working groups. UNAIDS is
the convening agency of the UNTTAM. In addition, UNFPA had a Joint Programme Coordinator from 2008
until June 2010, who was responsible to follow up on the implementation of activities with agencies
participating in the Joint Programme. This role was taken by the UNAIDS secretariat, with the support of
the working groups technical leads.

The UNTTAM provides the structure within which the JP is planned, coordinated, implemented and
reported. Each technical working group has an agency lead as follows:

3
 Lead Agency Technical Working Group
UNFPA Prevention
 Testing and Counselling
 Communication
 MARPS
 Male Circumcision
UNICEF PMTCT
WHO Treatment
UNICEF Mitigation
UNDP Mainstreaming
UNAIDS Monitoring and Evaluation

UNTTAM meetings were held on a monthly basis for information sharing, regular reporting and discussions
on the strategic positioning of the team. The technical working groups also meet on a regular basis for
discussion and monitoring of activity implementation, based on the annual work plan.

IV. Results

Assessment of the progress made per output

The 2010 JP Results Matrix by Output is presented in the annex 3.

Four strategic areas of comparative advantage

 Policy and Advocacy

Prevention
World Youth day was commemorated by youth associations and youth participation was supported through
a youth seminar, chaired by the Governor of Maputo City, in which the sector leaders and the NAC
participated. This resulted in advocacy for increased participation of youth in HIV discussion platforms
together with the decision makers.

Technical and financial assistance was provided to the Instituto de Medicina Tradicional for the participative
elaboration of the Ministry’s of Health National Strategic Plan for the Promotion of Traditional Health
systems that are scientifically sound and contribute to the provision of improved public health in a
coordinated manner.

The strategy on life skills development focusing on HIV prevention education, reached 1.3 million children
this year in 11 provinces. Analysis of lessons learnt resulted in MINED taking the lead in developing
national criteria on school & radio clubs in primary schools, in close partnership with RENSIDA, NWETI,
RM and FORCOM. MINED’s leadership and commitment at national and provincial level will ensure the
rapid scale up of clubs activities in all provinces, under the Ministry’s support and supervision. The new
Education Sector Strategic Plan (2012-2015) and HIV & AIDS National Strategic Plan III Education
operational plan (2010 – 2014) both integrated strong HIV components.

Support for the Counselling and Testing campaign preparation (communication strategy development &
provincial coordination field trips) was provided.

Intensive awareness and advocacy activities for scaling up access to safe male circumcision services in high
HIV prevalence and low male circumcision provinces of Maputo, Gaza and Maputo City were carried out
with the aim of mainstreaming male circumcision activities into provincial and district HIV plans of action
of each province.

Increased awareness of HIV through information targeted to mobile populations (informal traders, sex
4
workers, truck drivers) and communities to interact with in the Nacala Transport corridor was provided. 10
radio programmes with HIV prevention messages targeting mobile populations were developed and
broadcasted the programmes included themes such as MCP, use of condoms, HIV transmission, unprotected
sex, stigma and discrimination and use of female condom etc.

A country consultation on HIV in the Road Transport Sector was organized in May 2010 with the objective
of raising awareness about the high vulnerability and risk of HIV in the transport sector which brought
together key stakeholders in this sector. The existing Transport Working Group that had been inactive for
while, composed of specific UN agencies working together with the Ministry of Transport and
Communication, was revitalized with this consultation,

PMTCT
Successfully advocated for the revision of PMTCT guidelines (adoption of option A), target revision and
inclusion of revised guidelines in the supply gap analysis.

Treatment
Successfully advocated for the revision of national ART guidelines to adopt the new WHO guidelines for
paediatric and adult treatment. As a result government decided to adopt most of the new WHO guideline
recommendations for adult and paediatric treatment. Regarding paediatric treatment, the Minister of Health
decided for a gradual implementation depending on the availability of ARV drug. UN agencies participated
in advocacy and community mobilisation activities to end paediatric HIV (CEPA).

Mitigation
Basic Social Security Strategy, approved in April 2010, incorporated child grants as an integral element.
Efforts are now underway to assist in the implementation of a fiscally sustainable child grant and improved
operation of existing programmes. Support was provided to the Ministry of Women and Social Action
(MMAS) to evaluate the National Plans of Action for Children and Orphaned and Vulnerable Children in
order to guide and influence the revision of a new policy framework for children for in 2011 and beyond.
Support was also provided to the Ministry of Education and Agriculture to implement the Junior Farmer Field
and Life Schools (JFFLS).

Mainstreaming
It is expected that Monaso’s ability to manage and coordinate its members will improve the creation of a
code of conduct that in the process of being developed.

Long-distance drivers and sex workers living in communities along the Beira corridor were reached by HIV
and AIDS prevention activities supported by the unions of transporters (SINTRAT).

M&E
An evaluation of the PNAC and PACOV to influence the development of a new policy framework for
children (ongoing - expected to be finalized December 2010) and a pilot (and ongoing monitoring) on
minimum standards of care and support for OVC (ongoing - expected to be finalized March 2011), were
conducted.

An assessment of health risks of migrant and non-migrant workers in the ports of Maputo, Beira and Nacala
was conducted, as well as an assessment on the health risks of internal labour migrants working in Northern
Mozambique’s cashew industry.

 Normative and Technical Support

Prevention
Support provided for the development of the PEN III Communication Operational Plan, currently in its final
draft form, which will be enriched by the upcoming finalisation for the sectoral and provincial plans, while
priority actions being implemented under CNCS leadership.
5
The National Technical Communication Group (GTC) was fully recognised as part of the CNCS structure
and realignment process (CNCS focus areas: coordination, M&E and communication); TORs were revised,
weekly group meetings were held and the GTC acted as a technical advisory board to CNCS UNICOM.
Furthermore, Civil Society participation (N’weti, RENSIDA, FDC, MONASO, JHU, AESA, PSI) was
enhanced.

Six Provincial Communication Groups are now functioning on a regular basis and all other groups are being
revitalised. The training of all NPCS Communication Assistants, jointly organized with support from the
GTZ was carried out to complement the Communication for Behavioural Interventions (COMBI) training
organized by UNICEF in 2009).

Support was provided to the Ministry of Justice supported in the development of the HIV prevention
strategy for the prison sector for prisoners and prison staff and the draft strategy was approved. SNAPRI was
again supported in the development of the operational plan for the Ministry of Justice as part of the PEN III
which covers the prison sector as well.

Technical support was provided to Instituto de Medicina Tradicional (IMT) and ARPAC for the
development and implementation of capacity building exercises targeting NGO’s, CBO’s, local government
services and providers and traditional leaders in the application of appropriate socio-cultural approaches to
HIV and AIDS and SRH education at community level. This included the development of planning,
monitoring and evaluation tools. Technical and financial support was provided to Instituto Nacional para o
Desenvolvimento da Educação (INDE) for the development of learning achievements measuring
instruments on the competency of Teacher Training Trainers (in 21 IFPs) in HIV and AIDS and SRH.

PMTCT
Development of a manual and job aids for the nutritional rehabilitation of pregnant and lactating women
(including HIV+) is in progress. PMTCT targets were revised to match Mozambique’s commitment to the
achievement of Universal Access goals by 2015. Gap analysis and forecasting for HIV was expanded to
include the logistical and financial needs of option A. A roll-out plan for option A was elaborated and the
implementation of option A has been planned for beginning of 2011, depending on the availability of drugs.
UN agencies also participated in the operationalization process of the national strategic plan for HIV (PEN
III) in the health sector (MOH), at central as well as provincial level.

Treatment
During 2010 UN agencies participated in several activities to strength regular data collection, analysis and
use to support evidence-based model interventions for AIDS care and treatment. Technical support was
provided for the preparation of the roll-out of the new ART guidelines (revision of manual, job aids, etc and
for the expansion of national mentoring programmes and new technologies (POCT, sms printers) through
collaboration with NGOs. A manual and job aids for the nutritional rehabilitation of patients living with HIV
on pre-ART and ART (children, adolescents and adults) is in progress. UN agencies provided technical
support to operationalize the national strategic plan for HIV (PEN III) in the health sector.

Mitigation
Technical support provided for the development of a Minimum Package of Care and Support for OVC,
which focuses on quality standards for education, health, nutrition and food, legal, financial and psycho-
social support. The package is being piloted in three provinces and will be rolled out countrywide in 2011.
Technical support was provided to provincial governments to harmonize strategic plans (Manica and Sofala) to adapt
and implement the JFFLS curriculum and methodology in primary schools and open centres.

Mainstreaming
Emergency actors were provided with key tools to integrate HIV and AIDS and Gender needs into
emergency plan and activities, thus ensuring that HIV/AIDS and Gender are key components in the
community agenda for emergency response.

6
The ability of Government and Civil Society Organizations to implement the PEN III was strengthened with
the development of a tool/matrix and the assistance of HIV specialists were made available to ensure the
effective mainstreamed of HIV in the sectoral plans to the development of the civil society PENIII
implementation strategy. A tool to promote effective coordination and monitoring of HIV activities at
Provincial level is being developed for Maputo city and Inhambane Province as part of the decentralized
planning process. The exercise facilitates the participation of all HIV actors at district level.

Technical support was provided to parliament for the implementation of an HIV work place programme,
using the UN Cares model. ECOSIDA supported in setting up of new branches in Tete and Manica in order
to boost HIV and AIDS workplace programs at provincial level. The Business Coalition (ECOSIDA)
supported in the development of 350 workplace policies on HIV and AIDS including TB.

Labour Inspectors were trained on HIV and AIDS legislation and a labour inspector guidebook to monitor
the implementation of HIV laws in the workplace was developed

M&E
Capacity training and the development of tools to collect high quality disaggregated data through a new
database launched mid 2009 was provided for CNCS with the support of all M&E partners. The National
HIV/AIDS report for 2009, published in the 2nd quarter of 2010 was developed and disseminated as well as
the ACA report and 1st semester report for 2010. In August 2010, CNCS started the development of the
National M&E Plan for PEN III and the UN is supporting the consultation process to validate the M&E
National Framework for HIV&AIDS.

The costed M&E operational plan (PIMA, Portuguese Acronym) was assessed in September 2010 at
national level, and commitments were made to ensure its update after the elaboration of the National M&E
Plan 2010 – 2014.

National NASA report 2007 and 2008 for HIV expenditure was finalized in 2010. Almost 180 institutions as
funding, agent and service deliverers were identified and targeted to provide financial information. The data
from the NASA preliminary report was included in the UNGASS Report 2010. The NASA report is now
under CNCS revision for approval. NASA at provincial level did not start in 2010 as efforts were
concentrated on NASA at central level. NASA at provincial level is therefore planned for 2011.

In the area of decentralization and district planning, WHO in coordination with other UN partners and
implementers supported Maputo city and the southern Provinces of Maputo, Gaza and Inhambane to
develop multi-sectoral plans for HIV/AIDS on a district and provincial level. Gaza province received
support for its mid-year and annual monitoring of implementation HIV and AIDS district plans in 2010.
WHO and UNICEF have further mapped out key areas of support for the Maputo Province HIV plan.

The revision of the Maternal and Child Health integrated M&E tools (MISAU), and of the HIV&AIDS
MoH targets were carried out. The UNTTAM PMTCT working group, and in particular UNICEF and WHO,
collaborated with CDC to support the MOH in the development of a protocol for the first PMTCT National
Programme assessment to take place early 2011.

As part of the technical working group for M&E in the HIV program, WHO supported the development of
new tools, specifically new HIV AIDS records, such as: patients’ profile, follow up form, and others, to
better monitor and follow up HIV patients. The MOH/DPC and HIV program were supported in the
development of the HIV M&E plan for Global Fund round 9 and support was given to the MOH DPC for
the drafting of the TOR`s and concept note for the development of the new M&E plan for the Health sector
which is now in the process of elaboration.

Technical and financial assistance was provided to the Ministry of Women and Social Welfare, Ministry of
Youth and Sports, Ministry of Education and Ministry of Health, to enable the establishment of a database
for the national multi-sectoral Adolescent Sexual and Reproductive Health and HIV and AIDS Prevention
programme for Adolescents and Youth. The creation of this effective web-based database will facilitate
7
reporting to the national HIV and AIDS M&E System. Indicators for the multi-sectoral programme were
revised to align with indicators regarding HIV and AIDS prevention amongst adolescents and youth in the
national database. Ongoing technical support was provided to MMAS to harmonize the national database for
children in Mozambique in order to facilitate policy decisions and programme development. Technical
discussions around database system strengthening are on-going.

Technical assistance was provided to the Ministry of Transport and Communication. The objective of which
is to develop HIV and AIDS interventions for the transport sector. Training will continue in 2011.

Key studies like INSIDA, RVE 2009, HIV&AIDS Estimates, Hot Spot Mapping of the Beira-Tete corridor,
finalized and to be released in 2011. One of the objectives of the Hot Spot Mapping of the Beira and Tete
transport corridors was to obtain more information on migrant populations’ lives associated with health and
HIV vulnerabilities. The study measured the quality and quantity of health services available, the risk
behaviour parameters of sex workers and clients and the health-seeking behaviour of migrants and mobile
workers as well as key sedentary populations in the identified hot spots. Further studies focusing on the
same issues in different transport corridors were carried out.

Modes of Transmission reports were finalized and approved by CNCS and are now in the process of being
printed. This will allow the country to report on at least 19 national multi-sectoral HIV and AIDS indicators
which is a significant increase from the 7 that were reported in 2006. Other studies such as the Nacala
Corridor, Maputo-Swaziland corridor assessments of mobile population started implementation. The
assessments will look at possible factors for HIV vulnerability of mobile populations along the corridor
(number and accessibility of hospitals, health centres, access to VCT and STI treatment and HIV
programmes).

Private Sector M&E subsystem developed by ECOSIDA and world of work partners and tested in 5
provinces. 150 focal points trained on how to use the tool.

 Capacity Development

Prevention
Adolescents and youth knowledge on human rights and inclusiveness increased, through the
commemoration of World Population Day, under the theme “every one counts”. The events were
coordinated by three joint programme-supported youth associations. Messages on the human rights of all
groups in society, including adolescent’s and youth’s right to sexual and reproductive health (SRH) were
discussed with attendees, facilitated by Geração Biz peer educators. Increased knowledge on HIV
prevention amongst young people was also promoted through support to a youth association and a local
radio station to implement the program “Mundo sem Segredos”; a program promoting discussion on HIV
prevention amongst young people in the country.

Youth networks increased knowledge on women’s rights, including SRH rights through support for
experience exchanging initiatives amongst partners of the national women’s network (Forum Mulher).
Youth network representatives increased their knowledge of HIV prevention, through support provided to a
Maputo City youth network to hold a technical meeting on the implementation of the Geraçao Biz. 85 peer
educators were refreshed on the issues of MCP, condom use, GBV and age disparate relationships as
drivers of the epidemic.
Training manuals on providing safe male circumcision services were elaborated and are being finalized.

The number of peer educators implementing the Geração Biz programme increased in 2010. 90 young
people were trained which added to the overall number of community peer educators aged between 10-24
implementing the Geração Biz programme in communities and assisting health service providers at YFHS.
Topics covered in the training included HIV prevention, STIs, unwanted pregnancy, gender issues,
contraceptives, and YFHS amongst others.

8
RENSIDA Stigma and Discrimination activities were successfully mainstreamed into the Education and
OVC provincial programmes. A simplified stigma and discrimination module, focusing on S&D issues
amongst children and young people is being finalized.

Regional training was carried out in conjunction with the Institute for Social Communication (ICS) and
Theatre Network (GTO) provincial focal points, in order to improve the quality of the theatre plays and
mobile unit’s performances on key thematic areas (HIV MCP, malaria and hygiene promotion).

The capacity of decentralized government institutions as the government of Inhambane province (Zavala)
and Nampula (Mossuril) was strengthened through the creation of an HIV & AIDS specialised group. This
group helped the government bodies to integrate the social cultural approach to HIV prevention into its
annual work plan.
Community leaders (chiefs, religious leaders, traditional healers, and traditional birth assistants) were
given the skills to apply the socio-cultural approach to HIV prevention in Zavala and Mossuril.

Prison health officials from all provinces were trained on HIV surveillance in prisons. This will support the
harvesting of data for the development of a surveillance protocol for HIV in Mozambican prisons. Two
officials from SNAPRI and one from the Mental Health Department of MISAU were supported to
participate in the 2010 International AIDS Conference, in order to update their knowledge on HIV and
AIDS prevention, treatment and care.

PMTCT
The regional rollout of ToT for new M&E MCH tools was supported. A revision of PMTCT training manual
and job aids is being finalised (to incorporate option A).The training of health workers in the new PMTCT
sites was supported to ensure quality of services. Community activities, mother support groups and
supervision/mentoring activities were supported through partnership with NGOs in selected areas, to
improve adherence of pregnant women and their newborns to PMTCT.

Treatment
Technical support was provided to MISAU on the revision of paediatric and adult treatment national
guidelines to incorporate the new WHO recommendations. Integrated supervision visits were supported in
Maputo province to guaranty the integration between HIV and other services particularly mother and child
health services. CEPA partners were in trained in PMTCT and paediatric ART care practices. .

Mitigation
Technical support was provided to MMAS and DPMAS to strengthen their capacity to coordinate and
facilitate the implementation of OVC related activities, including food assistance for OVC and their
families. Coordination between MMAS, DPMAS and the implementing partners improved, contributing to
more efficient and effective assistance to OVC and their families. As a result of DPMAS and NGO capacity
strengthening activities, 233, 413 OVC’s have accessed three or more services in 2010. Technical support
was provided to DPA, DPEC and DPMAS to enable the adoption of JFFLS as a mitigating activity in their
annual economic and social action plans. 1,740 youth participated in JFFLS training programmes in Manica
and Sofala provinces and gained skills and knowledge in agriculture, nutrition, and HIV prevention.

Support was given to MMAS concerning the implementation of the protection component in the Child
Friendly Schools initiative, with particular emphasis on the referral of vulnerable children to enable access
to basic services. As a result, 26,343 children received direct material support and were referred to other
basic services (data from 3 districts still missing).

Mainstreaming
Technical support was provided to four CSOs on institutional capacity development. Civil society
organizations’ knowledge about the HIV legislation 9/2009 increased with the training of 278 (132 women
and 146 men) civil society members and partners at Provincial level with dissemination to 7000 workers
OTM Members.
9
Capacity building was provided to uniformed services personnel (UNAPROC) on sexual and Gender Based
Violence (SGBV), HIV and Human Rights for more effective intervention in emergency settings.

 Civil Society Partnerships

Prevention
Support was provided to the launch and oversight of the MCP campaign’s second phase (“Andar fora é
maningue arriscado”) involving three key NGO partners JHU, PSI and FDC. A six-month N’weti radio
and television campaign was aired. Community mobilisation was enhanced through the provincial and
regional training of all UNICEF communication partners.

The capacity of three youth networks in Maputo City to manage the adolescent and youth SRH program (
Geração Biz), Coalizão Biz, Avimas and AMODEFA was increased through training in project
management, M&A and leadership skills, .

Members of Civil Society (Community leaders, religious leaders, youth associations, Ametramo and
traditional mid wives) in Inhambane province (Zavala) and Nampula (Mossuril) were given increased
capacity to apply a Social Cultural approach when working with communities. Technical Support was also
provided to eleven CBOs in project management using a socio-cultural approach.

The National Communication Strategy for the prevention of HIV using Social Cultural Approach, was
implemented in coordination with CNCS and Civil society participation, and focused on male circumcision,
breast feeding for people living with HIV and voluntary testing and condom use in Maputo (Namacha and
Manhica), Gaza(Macie, Chibuto, Manjacaze), Zambezia (Quelimane and Morrumbala) and Sofala
provinces( Caia, Gorongosa, Nhamatanda and Dondo).

Partnerships with four community radios were reinforced in order to strengthen the dissemination of HIV
and AIDS preventive messages at community level. Partnerships with 11 CBO’s at district level engaged in
HIV and AIDS preventive education, in particular male circumcision, breast feeding for PLWA, voluntary
testing and condom use in Maputo province ( Namacha and Manhica), Gaza(Macie, Chibuto, Manjacaze),
Zambezia (Quelimane and Morrumbala, Sofala( Caia, Gorongosa, Nhamatanda and Dondo).

PMTCT
The UN provided technical support to the Campaign for the Elimination of Paediatric AIDS (CEPA), which
is a global campaign being implemented in Mozambique through a network of civil society partners. In
particular, the UN supported the creation of a leadership and coordination mechanism, a communication
plan, and the strengthening of the civil society’s technical and managerial capacity to implement the
campaign.

Treatment
In the context of CEPA, UN agencies organized a TOT for civil society organizations involved in the
campaign with objective to develop the capacity of these organizations to conduct quality, evidence-based
mobilization activities on paediatric care and treatment.

Mitigation
Technical and financial support was provided to strengthen CSO’s capacity at provincial and district level to
reinforce communities’ support for OVC, particularly psychosocial care and support and on stigma and
discrimination. Furthermore, community based child protection structures were established and activated in
order to further strengthen communities’ ability to provide care and support for OVC. Support was provided
to four networks of PLWHA to enable the development of home based care activities at community level as
well as income generation.

10
Mainstreaming
Knowledge of human rights and prevention of HIV amongst school based girls in Maputo City and Maputo
province increased (60 students from 4 schools’ trained) through the successful implementation of the
campaign “know your rights, protect yourself from HIV.” This campaign was launched by UNDP in 2010
and was implemented by youth associations in coordination with UNDP, UNAIDS, and UNFPA.

M&E
Technical assistance and financial support for the development of the Private Sector HIV&AIDS M&E sub-
system was provided to ECOSIDA. Information flux and data collection tools were reviewed, developed and
adapted according to the National M&E System from CNCS.

Implementation constraints and lessons learned

In 2010, three new agencies were integrated into the Joint Programme, namely: FAO, IOM, UNIFEM and
UNHCR, which made coordination, planning, as well as implementation and reporting more challenging;
since it took time for the new agencies to become fully integrated and conversant with the joint programme
structure.

The HIV JP narrative was updated to fit the broader scope of the programme, which is currently aligned and
harmonized with the Strategy for HIV Prevention Acceleration (2009) and the National HIV Strategic Plan
(PEN III). The narrative covers 2010 and 2011, with a detailed annual work plan for 2010. During the JP
review exercise which took place in June 2010, no major recommendations for further changes were made,
since UNTTAM had already worked on aligning the HIV joint programme with the national strategies early
2010.

Some of the implementation constraints encountered during the reporting period included:
 Delay in the disbursement of One Fund funds, which caused delays in disbursement to implementing
partners and eventually delays in the implementation of activities;
 Changes in the work plan activities without, in some cases, proper consultation with government
counterparts;
 At times, delayed information from the implementing partners resulted in the delay of regular
reporting by JP;
 the technical capacity of partners was limited at times and the need for more partner leadership in
coordination and implementation at both national and district levels was highlighted

Some of the lessons learned during 2010 are:

 The technical and institutional capability of implementing partners needs to be strengthened in order
to obtain the best results;
 The sharing of information among the participating agencies and with the Government and the
Implementing Partners can be improved;
 Improving joint monitoring and joint review mechanisms at central and decentralized level is key;
 Earlier disbursement of funds in order to implement activities as planned should be arranged.

V. Future Work Plan

The Joint Programme Narrative covers the period of 2010 – 2011, with a detailed Work Plan for 2010. 2011
will be the last year of implementation of the HIV Joint Programme.

For 2011, UNTTAM reviewed and analysed the INSIDA results, published in July 2010, and the possible
implications for UNTTAM and the Joint Programme programming. INSIDA findings will be the main
reference frame to guide UNTTAM and Joint Programme planning, interventions and activities for 2011.
More focus will be placed on the southern region of the country, on groups such as women and young girls
and youth and on interventions in urban settings. The UN’s response will also be supported by the PEN III
(2010 – 2014,) which provides the strategic lines of the national response. In order to better coordinate its
support to the government, a new UNTTAM structure, ensuring more alignment with the PEN III will be
11
 used to report the activities. The 2011 the work plan has an estimated budget of US$ 18,103,233. See annex
4 for more details on the 2011 Work Plan.

Annex I: Implementing Partners

Programme areas Implementation Partners Agencies

Government Others UN Participants
1 – PREVENTION
1.a) Counselling and Testing MoH, DPSs, DDSs, PSI, CDC, IMT, UNFPA (Lead
(CT) NAC AMETRAMO Agency),UNESCO,
UNICEF,UNHCR.
MoH, DPSs, DDSs, Rensida, MISA, IMT, UNICEF (Lead Agency),
1.b) Communication for MINED, MoW, FORCOM, GTO, IOM, UNFPA, UNESCO
Development
ARPAC, Lambda, PI,
RM, TVM,
AMETRAMO, ICS
1.c) Most vulnerable Population
groups MJD, MoW, DPM, UNFPA (Lead
Lambda, IMT,
MINC’, MINJUS Agency),UNESCO,
Pathfinder, WLSA,
AMETRAMO, ATPM, UNODC, UNICEF, ILO
SINTRAT

1.d) Male Circumcision (MC) MoH, DPSs NPCS WHO (Lead

Agency),UNESCO,
UNAIDS.
MJD, MINED CNJ, Youth UNFPA (Lead Agency),
1.e) Adolescents and young
Associations, UNICEF
people
RENSIDA, N’WETI,
RM, FORCOM
2 – PMTCT MoH HAI, CUAMM, CHAI UNICEF (Lead
Agency),WHO, WFP,
UNESCO
3 – TREATMENT MoH, DPSs PLWHIV, CHAI, HAI, WHO(Lead Agency),
CUAMM UNICEF, UNESCO, WFP,
4 – MITIGATION MMAS, DPMAS, ADEL,UGC,FDC,Help UNICEF (Lead Agency),
DPE, DPA, DPJD Age, Handicap, Action WFP, FAO, ILO
Aid, Aga Khan F. ,
DSF, , WR, IRD,
Associacao Avante
Mulher, PHUKA
UNANHA, A. Luz
Verde, A. Anda,
UNAC_Tete, Africare,
CCF , KUPHUNANA,
A. Luz Verde, A.
KUPHUNANA
5 – MAINSTREAMING NAC, MPD, (OSCs) MONASO, UNDP(Lead Agency),
OF HIV, AIDS AND MINTRAB, MINED, RENSIDA, UNIFEM, UNAIDS, ILO,
GENDER UEM MINT, Min.Int KINDLIMUKA, IOM, UNESCO, UNFPA
(Migração) UNAC, U.G.C, FDC,
Private Sector,
ECOSIDA (CTA);
(Unions) OTM-CS,
ASSOTI, ADELs,
CONSILMO,
12
 CDC,FEMATRO,
SINTRAT, AEFUM
6 – MONITORING AND NAC, MJD,MoW, CDC, INS, USAID UNAIDS (Lead Agency),
EVALUATION – M & E MoH, MINED MEASURE, FHI, UNFPA, IOM, UNDP,
DANIDA UNODC, WHO, ILO,
UNICEF

13
Annex II: Abbreviations and Acronyms

ADEL – Local Agency for Economic Development

AEFUM – Mozambican Association for Finalist Students
AMETRAMO – Mozambican Association of Traditional Healers
AMIMO – Mozambican Association of Miners
ANDA- National Association for Self- sustained Development
ANC - Antenatal care
ARPAC – Archives for Cultural Patrimony
ART – Antiretroviral Treatment
ARV – Antiretroviral
ASSOTSI - Association for Workers in the Informal Sector
C&T – Counselling and Testing
CBC – Communication for Behaviour Change
CBO – Community Based Organization
CCM – Christian Council of Mozambique
CDC – Centre for Community Development
CFS – Child Friendly Schools
CHAI – Clinton Health Access Initiative
CNJ/CPJ – National Youth Council
CONSILMO – National Confederation of Independent Unions in Mozambique
CSO – Civil Society Organization
CT – Counselling and Testing
CTA - Confederations of Economic Associations
DANIDA – Danish Cooperation
DDS – District Health Directorate
DPMAS – Provincial Women Directorate
DPS – Provincial Health Directorate
ECoSIDA - Businesses Against AIDS
EGPAF – Elizabeth Glaiser Pediatric AIDS Foundation
FDC - Foundation for Community Development
HCT – Health Counselling and Testing
HHI – Family Health International
FORCOM - National Forum for Community Radios
GTO –Grupo de Teatro do Oprimido
HAI – Health Alliance International
IEC – Information, Education and Communication
ICS – Social Communication Institute
INS – National Health Institute
JP – Joint Programme
Kindlimuka – Association of People Living with HIV
Lambda –Association of Sexual Minority Rights
LGBTI – Lesbians, Gays, Bissesuals and Transgenders
M&E – Monitoring and Evaluation
MARPS – Most at Risk Populations
MC – Male Circumcision
MCH – Maternal and Child Health
MCP – Multiple Concurrent Partners
MDG – Millennium Development Goal
MIJUS – Ministry of Justice
MINC – Ministry of Culture
MINED – Ministry of Education
MINTRAB - Ministry of Labour
MoH – Ministry of Health
MONASO - Mozambican Network for AIDS Service Organizations
14
MoW – Ministry of Women
MPD – Ministry for Planning and Development
MYS – Ministry of Youth and Sport
NAC – National AIDS Council
NASA – National AIDS Spending Assessment
NGO – Non Governmental Organization
NPCS – National Aids Council Provincial Directorate
Nweti – Communication for Health
OIs, - Opportunist Infections
OTM-CS - Mozambican Organization for Workers
OVC – Orphans and Vulnerable Children
PACOV – Action Plan for Orphans and vulverable Children
PENII/III – National Strategic Plan
PIMA – Monitoring and Evaluation Integrated Plan
PLWHIV – People Living with HIV
PMTCT – Prevention of Mother to Child transmission
PNC/CPN – Pre – Natal Consultation
POA – Plan of Action
PSI – Population Services International
RC – Resident Coordinator
RENSIDA - National Network for people living with HIV
RM – Radio Mozambique
S&D – Stigma and Discrimination
SINTRAT – Trade Union of Transport Operators
SME – Small and Medium Sized Businesses
SRH – Sexual and Reproductive Health
STI – Sexually Transmitted Infections
SWAP – Sector Wide Approach
ToR – Terms of Reference
ToT – Training of Trainers
TVM – Mozambique Television
U.G.C - The General Cooperative Union
UCC – UNAIDS Country Coordinator
UEM - University of Eduardo Mondlane
UNAC - National Farmers’ Union
UNDAF – United Nations Development Assistance Framework
UNGASS – United Nations General Assembly Special Session
UNTTAM – United Nations Technical Team on Aids
UP – Pedagogical University
USAID – United States Aids Programme
WLSA – Women and Law in Southern Africa
YFHS – Youth Friendly Health Services
YPC – Youth Provincial Council

15
16
 Annex III: Joint Programme Results Matrix
PREVENTION

OUTCOME 3.1: HIV Prevention Comprehensive Programme covering 5 key areas of the National Strategy of HIV Prevention Acceleration (ATS, Preservatives, GAR, CM and CMC) implemented and expanded.
Indicators for Outcome 3.1:
 % of women and men (15- 49 years and particularly of young people ranging between 15-24 years) who have used a condom in their last sexual relationship. Target: 40% women; 40% men. Baseline: Women 20%; Men 30% (source of baseline?)
 % of women and men (15- 49 years and particularly of young people ranging between 15-24 years) who have had sexual relations with a partner other than their married partner in the last 12 months. Target: 7% women; 35% men. Baseline:
Expected Results Indicators, Baseline and Results 2010 Means of Verification Responsible Agency Assumptions and Risks
(Outputs) Targets
COMMUNICATION
3.1.1. Strategy and # of youth associations and IOM implemented radio activities with the aim of increasing HIV knowledge Report on capacity sessions of OCBs UNICEF Assumptions:
Communication National trained CBOs. Baseline : 3 through radio via mini dramas and phone-in sessions at the end. Topics revolve IOM Systematic and political
Plan for HIV and AIDS Target : 11 around aspects of migration, mobility and HIV, and were broadcast along the UNFPA support by local, provincial
Prevention implemented Nacala corridor.
under the enhanced # of activists trained in S&D Report on the activities by the and district governments
coordination of CNCS and and applying it in their work; PEN III Communication strategy and plan activists in the area of E&D
Civil Society Organizations Baseline : 337  PEN III Communication Operational Plan prepared. It will be strengthened Complementary contribution
(including the participation Target : 500 following the finalisation of the sectoral and provincial plans, while priority by partners has been
of youth associations), actions are being implemented under CNCS leadership. maintained
utilising aspects of MCP  National Technical Communication Group (GTC) fully recognised as part of
and stigma as their # of programmes / campaigns the CNCS structure and realignment process (CNCS focus areas: coordination, Risks:
guidelines. in the media produced and M&E and communication); TORs revised and group meetings held on a Late provision of funds for
disseminated; weekly basis and functioning as a technical advisory board to CNCS Copies of programmes broadcast the implementation of
Baseline: 1 UNICOM; Civil Society participation (N’weti, RENSIDA, FDC, MONASO, programmes.
Target: 3 JHU, AESA, PSI) enhanced.
 Six Provincial Communication Groups (Maputo, Gaza, Inhambane, Sofala,
Niassa and Zambezia) functioning regularly and all others being revitalised.
# of specific communication Training of all NPCS Communication Assistants jointly organized with support
strategies at local level from the GTC (complementary to the COMBI training organized by UNICEF
designed and implemented in 2009).
outside of local  Support provided to the launch and oversight of the MCP campaign’s second
communications Baseline: 1 phase (“Andarfora é maninguearriscado”) involving three key partners - JHU,
Target: 3 PSI and FDC. Six-month N’weti radio and television campaign on air.
Community mobilisation enhanced by three regional training sessions for
young people working with 40 community radio stations, massive distribution
of the MCP Newsletter (175,000 copies of Revista “Amores a mais é demais”) ,
GTO theatre groups trained in five provinces (Tete, Maputo City and province,
Gaza and Zambezia) and theatre plays produced; production of radio and
mobile unit guidelines for the utilization of the film LOVE and the radio novel
“Vidas Mascaradas”
 Counselling and testing campaign preparation (communication strategy
development & provincial coordination field trips) supported.

Stigma and Discrimination

 RENSIDA Stigma and Discrimination activities successfully mainstreamed
into the provincial education and protection programmes reaching: 75 COV’s
activists trained in three regional protection training workshops and 81 new
school activists in the 7 CFS covering over 100,000 school children.
 Simplified stigma and discrimination module focusing on S&D issues among
children and young people being finalized.
 15 additional RENSIDA trainers capacitated in 4 new provinces (Zambezia,
Tete, Nampula, Cabo Delgado). Trainers will involve activists in at least 33

17
 priority districts to tackle stigma and discrimination faced by children, and to
reflect the acquired knowledge in their OVC community and school-based
monitoring and training activities.
 S&D radio programmes, debates and interviews promoted over three months in
the 8 target provinces through RM and community radio stations.

Community Mobilization Activities:

 1,310 children and young people are actively participating as producers and
presenters in C2C media (RM, TVM, community radio station) programmes in
11 provinces, tackling issues related to SRH and HIV prevention.
 Approximately 670,000 people (70% children and youth) in 221 localities from
75 priority districts reached twice, and 57 localities reached at least once
through multimedia mobile unit activities, promoting HIV prevention.

 Approximately 90,000 people in 260 localities from priority districts were

reached three times through community theatre activities. Age-specific debates
are being piloted in select districts.

3.1.2. Information on
sexual minorities produced
and disseminated.
 10,743 people received HIV counselling and testing at the mobile unit tents, in
partnership with local health providers and NGOs. The number of people
seeking counselling and testing services has increased 10 times compared to
2009, mainly as a result of improved coordination with the health sector at
district level
# of newsletters produced Information on sexual minorities made available through support to LAMBDA to Produced and made public UNFPA Assumptions:
annually. produce monthly bulletins and to maintain a website (www. Lambda.org.mz) UNAIDS 100% incorporation of the
Baseline: 1 project by MoH
Target:3
Risks:
Late provision of funds for
the implementation of
programmes.

Expected Results Indicators, Baseline and Results 2010 Means of Verification Responsible Agency Assumptions and Risks
(Outputs) Targets
MOST AT RISK POPULATIONS (MARPs)
3.1.3. Coordination # of working groups that have IOM reinforced HIV prevention service in the Port of Beira to groups who are more Reports of operational plans UNODC Assumptions:
mechanisms, strategies and been established at central and vulnerable to HIV due to their mobility, including port users, truck drivers and sex IOM Support by the government
programmes guaranteed for provincial level with defined workers. UNFPA of district and province, as
the promotion of health, operational plans. ILO well as other interventions
including STI and HIV Base line: Prisons services have drafted a strategic position for the prison sector. SNAPRI at
prevention for risky groups Target: central level has since developed an operational plan for PEN III for both prison Risk:
(MARPs). staff and prisoners. Late provision of funds for
3 in-country regional meetings were held where a total of 141 prison officials the implementation of
worked to prepare the draft sectoral strategy. These officials also received IEC programmes.
material during the meetings.

3 prison health officials were supported to participate in the 2010 AIDS Conference
in Vienna.

3.1.4. The capacity of # of empowered people. 130 civil servants from Migration Services, Ministry of Transport and Road Reports on capacity sessions Risks:
supporting structures Base line: Transport Operators have been trained in TB and HIV and AIDS integration issues ILO Late provision of funds for
selected to implement HIV, Target: 1000 in the action plans the implementation of
AIDS and TB programmes programmes.
along the transportation

18
corridors has been
enhanced.
3.1.5. Knowledge on # of empowered people. Reports on capacity sessions UNAIDS Risk:
Estimates of the size of Base line: 4 Non-integration of MARP
risky groups (MARP has Target: representatives in the
been increased). processes
3.1.6. HIV and AIDS # of HSH and gay prisoners, HIV prevention services for MARPs were increased: 106 registered sex workers Records of general health services in UNFPA Risks: \
prevention and Health TS and disabled people attended night clinics for sex workers, 61 of whom were tested. 130 peer educators prisons, night health clinics UNODC Absence of legal recognition
Services have been covered by health services and were trained in prison sites, 54 peer educators were trained in LAMBDA youth of LGBTI.
expanded for the LGBTI, HIV prevention. association, 85 young people with disabilities were trained as peer educators, 91 sex Non-integration of MARP
prisoners, sex workers and Base line: 90 TS workers were trained as peer educators to operate in seven sites in Maputo City, representatives in processes.
disabled people. 80 PcD, 15 HSH and gays Nampula, Beira and Chimoio. HIV prevention commodities were made available to
Target: 120 TS, 100 PCd, 40 MSM, including 2579 condoms distributed.
HSH and gays
A total of 47 prison health officials from all provinces were trained in HIV
surveillance in prisons. This also served as a mechanism for the distribution of IEC
material to prison staff.
Expected Results Indicators, Baseline and Results 2010 Means of Verification Responsible Agency Assumptions and Risks
(Outputs) Targets
MALE CIRCUMCISION
3.1.5. Provincial and # District plans for MC The integration of male circumcision in the provincial and district plans has Reports on district plans WHO Risks:
district plans for Male implemented. increased in the provinces of Gaza and Maputo, with 5 districts integrating male Lack of support by MISAU
Circumcision (MC) have Base line: 1 circumcision in their district plans (Chokwe, Majakazi, Chibuto, Chicualacuala and (the Ministry of Health) for
been implemented in the Target: 40 Xai-Xai) in Gaza province and the district of Boane in Maputo province. the implementation of the
provinces of Gaza, programme
Maputo and Inhambane 26 HIV/AIDS district focal points in Gaza province have been trained on
integration of male circumcision in the distric plans in Chokwe in 2010.
3.1.6. The capacity of # of health workers trained for 8 health workers have been trained for the expansion of male circumcision in Reports of sessions of capacity WHO Risk:
health service and care the expansion of MC. Chokwe, Majacaze and Boane. building. Acceptance (adherence) by
providers involved in the Base line: 0 the population
expansion of the access to Target: 50 A consultant has been hired to design a training manual for “Safe practices for male
safe circumcision services circumcision”, and a facilitator’s manual and participant’s manual were designed in
has been improved. 2010.

WHO has provided technical support to two national NGOs in designing a proposal
for the expansion of male circumcision in the districts of Manjacaze and Chokwe.

3.1.7. Assessment and # Assessment carried out. WHO has worked with JPHIEGO in the design and implementation of a pilot Assessment reports WHO/JPHIEGO/ CM Risks:
monitoring reports on the Base line: 0 circumcision expansion project in the provinces of Gaza, Maputo and Maputo City. group Difficulty in undertaking
expansion of male Target: 1 The preliminary report states that more than 1,500 people were circumcised in 2010 joint visits with MISAU
circumcision activities in the pilot location in the provínces of Gaza, Maputo and Maputo City.
3.1.8. The policy on male Available policy: yes or no. The policy of male circumcision is being prepared and will be integrated in the HIV Policy document WHO / UNAIDS Risks:
circumcision has been prevention component. Late provision of funds for
produced and is available. the implementation of
programmes.
Expected Results Indicators, Baseline and Results 2010 Means of Verification Responsible Agency Assumptions and Risks
(Outputs) Targets
YOUTH (including life skills)
Increased participation of # of youth associations and Programme dialogue with youth platforms was revitalized, specifically with CNJ, Legalization documents UNFPA Risks:
young people in national established/legalised networks Juvenile Parliament and Youth Cabinet, in order to strengthen youth participation in UNICEF Late provision of funds for
and provincial forums, Baseline: 4 existing national fora. the implementation of
community committees Targets: 20 programmes.
and school councils Four young people representing four Mozambican youth associations were
supported to take part in the 2010 World Youth Conference in Mexico.
 More than 600 young people representing youth associations at provincial,
19
 district and community levels, including government authorities, were
involved in PARP briefings, held in 6 provinces, to raise young people’s
awareness on the need to participate and claim their rights in decision-making
forums.
 More than 175 young people are participating in decision-making fora such as
Development Observatories, Government consultations, consultative
committees and school counsels at provincial, district and community level, in
8 provinces.
 Improved quality of young people’s involvement in decision-making fora at
provincial level, as a result of their growing participation in Government
meetings. Growing awareness of Government on youth issues and their need
to participate in the country development programme.
Youth Provincial # of youth associations  158 young people integrated into the activities of community radio stations, as Report of CNJ UNICEF Risks:
Councils (CPJ) implementing peer peer communicators for HIV prevention (focusing on stigma and MJD Llate provision of funds for
implementing peer communication programmes and discrimination and MCP) in 8 provinces. Youth associations the implementation of
communication involved in decision making  Improved quality of radio programming and increased youth involvement in programmes.
programmes on HIV forums in the 8 provinces discussions related to MCP and stigma, in the selected community radio
prevention in 8 provinces stations.
and at least 200 young
people participating in
decision-making fora at
provincial, district and
community level in 8
provinces.
PLWHIV School Number of primary schools  1.3 million children (48% girls) participated in life skills and HIV/AIDS Reports of the Associations UNICEF Risks:
Awareness extra- where PLWHIV School prevention activities through school clubs in 11 provinces. MINED Late provision of funds for
curricular programme for Awareness programme is  Intervention scaled up incrementally in 440 new schools (60%) reaching 105,736 RENSIDA the implementation of
children aged 10-14 implemented (Baseline: 1,500 children in 7 CFS districts. The programme is targeting over 2000 schools N’WETI programmes.
scaled up in seven CFS (2009); Target: at least 2,000 nationally;
districts with particular schools in 2011)  National criteria and monitoring tools on school and radio clubs developed by
focus on life skills MINED with technical assistance from UNICEF, Rensida, N’weti and Radio
development for HIV Mozambique. Harmonized approach to clubs (extra-curricular) to be scaled up
prevention and protection nationally as a complement to the life skills programme in schools.
from violence and abuse  TA provided to provincial and district education coordinators and RENSIDA
School Awareness Programme to apply the ONE CLUB initiative as part of its
expansion in the 7 CFS districts.
 3 newsletters produced in the course of the year (on child trafficking,
assertiveness). The material is being used by clubs to promote micro projects
benefiting local communities (i.e. distribution of mosquito nets, sensitization
sessions on early pregnancy, birth registration)
 Listener’s groups being established in over 1000 schools, using solar radios to
enhance the school-radio linkage.
Expected Results Indicators, Baseline and Results 2010 Means of Verification ResponsiblenAgency Assumptions and Risks
(Outputs) Targets
COUNSELLING AND TESTING
3.1.9. The expansion of # of counselled and tested people The national counselling and testing campaign was postponed to 2011; however 2010 Report on the AT National UNFPA Assumptions:
HCT services has been at the national AT company 168,940 young people were counselled and tested in YFHS. Company. UNESCO Existence of areas with US
given priority so as to Baseline: 0 and SAAJs
cover the target Target: 500,000
population.
# of traditional healers Risk:
mobilizing people to AT of Fear of stigmatization if the
HIV. result is positive
Baseline: 40

20
 Target:l50
PMTCT
OUTCOME 3.2: Increased capacity of the Ministry of Health and the main interventions to provide comprehensive and integrated PTV services by 2011, to at least, 65.000 pregnant women and their exposed children
Indicators for outcome 3.2: % of HIV positive pregnant women receiving prophylaxis to avoid transmission from mothers to children.
(Baseline: 46,868; Target: 65,000*
Expected Results Indicators, Baseline and
(Outputs) Targets
3.2.1. Operational # of Health Units where PMTCT PMTCT provided in 909 Health Units (Sept. 2010)
Plan on strengthened is provided (Baseline: 30 (2005).
PMTCT through capacity Target: 861 (2011)
development, information
systems and # of Health units monitored
implementation of the where PMTCT is provided with
plan on PMTCT in the the help of the United Nations
context of the Prevention Base Line: 30 (2005)
Acceleration Plan. Target: 347.
3.2.2. Provide # of Health Units with PMTCT
quality PMTCT services supported by the UN with
that are integrated into the appropriately trained staff
maternal and infant health Baseline: 30 (2005); Target:
services, including 347.
consultation before birth,
maternity, after birth % of HIV positive pregnant
consultation and at risk women receiving nutritional
child consultation. support in Health Units with
PMTCT; Baseline: 3,500 (2009)
Target: 7,500 (2010)
% of malnourished children
receiving support in Health
Units with PMTCT; Baseline:
3,500
Target: 7,500
# of people trained in PMTCT
issues, including nutrition and
number of supervised Health
Units.
Baseline: NA
Target: 100 of the new Health
Units
3.2.3. Increased use % of pregnant women
and adherence of PMTCT counselled, tested for HIV and
services: acceptance of receiving the results in the
testing of HIV in pregnant Health Units with PMTCT
women and receiving Baseline: 65% (2004), Target:
treatment for prevention. 80%
Women and children have
Late provision or non-
provision of funds
Results 2010 Means of Verification Responsible Agency Assumptions and Risks
QAD Health Sector Indicators UNICEF, WHO, MoH Risks:
in collaboration with Late provision of funds for the
key implementation implementation of
Reports of MISAU and partners programmes.
361 Health Units with PMTCT supported by the United Nations implementation partners
Database of agencies
43 new Health Units created with the help of the UN by September 2010, making Annual reports of UNICEF, DPSs and UNICEF, WHO, WFP Risks:
it 361 Heath Units with PTV supported by the United Nations (40% from the total partners MoH in collaboration Late provision of funds for the
of Health Units with CPN integrating a PMTCT) with key implementation of
implementation programmes.
7,500 HIV positive pregnant women receiving nutritional support in Health Units partners
with PTV in 2010 (100% of the target)
7,500 malnourished children receiving nutritional support in Health Units with
PMTCT(100% of the target)
72 trained people in 100% of the new units (43).
In addition, the UN supported ToTs in the implementation of the new policy
related to PMTCT.
ToT for 60 providers in the central region.
ToT in the new integrated M&E tools carried out for 54 providers covering 3 areas
In-service training for the implementation of the nutritional recovery and
preparation and printing of material was postponed to the start of 2011.
Counseled and tested: from the 624,949 pregnant women who attended CPN in the Annual report of SMI/MISAU MoH and DPSs Risks:
first 9 months of 2010: 464,524 were tested for HIV (68.8 %). programme UNICEF Late provision of funds for the
WHO implementation of
Coverage of ART prophylaxis in pregnant women: 37,989 HIV + pregnant women WFP programmes.
received ARVs for PMTCT (76% of HIV positive women, and 44% of the Key implementation
estimated HIV-positive women in the period); from these, 5,981 received ARVT partners
(16 % of the total that received ARVs for PTV from the estimated HIV-positive
21
been integrated into the # % of pregnant women who women at the same period).
Pmtct services, receive prophylaxis with ARVs
contributing to the at Health Units with PMTCT Coverage of ARV prophylaxis in exposed babies: 22,040 (44% of women
achievement of the targets (Baseline: 46,848 , 80% ; diagnosed as HIV positive ) exposed babies received ARV for PTV- this still
for PMTCT in 2010 Target: 65,000, 80%). constitutes a challenge to follow up on issues of quality and retention.

% of children exposed to HIV Access to PCR DNA: by June 2010, 314 Health Units had collected PCR
(from mother in PTV) who (compared to 287 Health Units by the end of 2009 and 208 in 2008). 15,447
received ARV prophylaxis children from CCR were tested (31% of the women diagnosed as HIV positive), of
(Baseline: 67%; Target: 80%). whom 1,751 were positive (11.3% of the positivity rate).

# % of exposed children tested

with PCR (Baseline: 29%;
Target: 40%).
3.2.4. Inter-agency # of joint visits undertaken by In 2010 staff members from MISAU were not given permission to make Visit reports UNICEF Risks:
coordination mechanisms UNICEF, WHO, WFP and supervision visits in the provinces. WHO Late provision of funds for the
have been strengthened in MoH; Baseline: 1 (2009) WFP implementation of
the subgroup of PMTCT. Traget: 2 (2011) 1 joint visit in Maputo province to sustain planning 2011 (50% of the target) programmes.

ART

OUTCOME 3.3: Increased capacity of MISAU and its main intervention to improve the coverage from 30% to not less than 40% of PLWHA, either in adult people or in children, benefiting from a standard support package in at least one of the
following areas: ARVtherapy, prophylaxis and opportunistic infections treatment, nutritional support, home care and counselling.

Indicators for Outcome 3.3:

 # of adult people with advanced HIV infection that receive ARV therapy in accordance with national protocols (coverage of ARV therapy) (Baseline: 170,190 (2009); Target: 195,000)
 # of HIV positive children (<15 years) elegíble who get ARV therapy (Baseline: 1,500 (2005); Target: 23,000)
 % of women amd men (15- 49, especially young people ranging from 15-24 years), who have been tested for HIV and been given their results over the past 12 months. Baseline: 65%; Target: 85%.
Expected Results Indicators, Baseline and Results 2010 Means of Verification Responsible Agency Assumptions and Risks
(Outputs) Targets
3.3.1. Technical # People in ARV who receive 26,000 people in ART that have received monthly nutritional supplement (100% Report of WFP WHO, UNICEF, WFP,
assistance provided to nutritional supplements monthly. of the target) MISAU, CNCS, Provincial
MISAU for enhancing Baseline: 15,000 (2009) Directorates of Health
integrated treatment, care Target: 26,000 people.
and support services to
PLWHIV. Health Alliance
International, EGPAF,
CUAMM, PSI, ICAP.

CDC/USAID (PEPFAR)

3.3.2. Support # of Health Units providing 226 Health Units that provide ART services (Sep. 2010). SIS MISAU Assumptions:
provided to the country ARVT in accordance with Good collaboration among
for improving access to national updated protocols It should be highlighted that many of the Health Units that had planned to start MoH, UN agencies,
quality ARVs for HIV ART during 2010 faced a number of challenges in meeting the minimum criteria
and AIDS prevention and (Baseline: 222 Health Units for opening new ART location as defined by MISAU. Most of the challenges have CNCS, bilaterals, NGOs,
treatment, and promotion (2009) to do with a lack human resources and basic infrastructure. OSCs and the community.
of rational use of ARVs Motivation for human
and other essential Target: 304 Health Units resources and availability
products/materials of funds.

Risks:
Lack of availability and

22

3.3.3. Trainers have
been trained in the
delivery of integrated
services, HIV, AIDS,
ARTs, care and
nutritional support.
3.3.4. Surveillance
system and monitoring of
HIV and AIDS resistance
to medicines has been
strengthened.
3.3.5. Strengthening
of the national response to
paediatric care and
treatment for HIV and
AIDS, through the
improvement of
coordination, capacity
and functional
information systems.
3.3.6. Enhancement
of treatment, care and
nutrition services for
children that live with
HIV and AIDS in the 146
existing and 10 new
locations (156 supported
by UNICEF),
contributing to the
achievement of the target
of MISAU in relation to
children accessing ART.
3.3.7. Increased use
of and adherence to care
and treatment through the
provision of information
relating to the benefits
and availability of ART,
as well as through
psycho-social support and
home based care to
children and families in
not less than 50% of
Health Units with
paediatric ART services.
accesst to ARV
Risks:
Llate provision of funds
for the implementation of
programmes.
# of health technicians trained to 476 for adults and 538 for paediatric ART; total 1,014 Capacity development training
distribuit the standard support reports.
package in accordance with
national rules.
(Baseline: 150 (2009);
Target: 650 (2011))
# of Health Units visited to Activities that were postponed for the first quarterly of 2011. Supervision visit reports.
check for resistance to ARV.
Baseline: 17 Health Units (2007)
Target: At least 2 Health Units
in each province, 2010 ( 35
Health Units)
# of health technicians trained 538 health technicians trained for treatment and cares to children. Capacity development for health
for providing HIV and AIDS technicians training reports
treatment to children.
Baseline: 165 technicians trained
(start 2010)
Target: All TM in the all over
the country
# of children treated and cared 175 health unit that provide treatment and care services to children supported by MISAU reports
for in the 156 Health Units the UN (Target 2010: 170). UNICEF reports
supported by the UN By September 2010, 16,480 children over 15 years received. This means that there
Base line: 1,500 has been an increase of 2,975 in the period in consideration (Jan-Set). If this
Target: 18,817 (2010); increase is maintained aver the year the country will meet the annual target
23,000 (2011) (18,817).
% of Health Units providing 222 out of the total number of Health Units provide ART treatment and care
HIV and AIDS treatment and services for children over 15 years (98%).
care to children.
Baseline: 186 Health Units
(2009); 95%
Target: 222 Health Units (98%)
23
3.3.8. HIV
prevention, treatment and
care strategies have been
improved for refugee
populations.
# of refugees covered by HIV Report on Prevention Campaign for UNHCR Risk:
prevention campaigns refugees. UNFPA Late provision of funds or
Baseline: 0 non provision of funds
Target: Registration forms for # of ITS
diagnosed in the HC of Marretane
# of STI cases treated in
accordance with national norms Surveillance reports on quality
at Maretane. treatment of ITS in Marretane
Baseline: 0
Target:

IMPACT MITIGATION

OUTCOME 3.4: (Mitigation) 50% of the target OVCs covered by Vulnerable Children Action Plans (or at least 205,000 annually) together with their families have access to six basic services (education, health, financial support, nutrition and food,
psycho-social and legal support) and to social protection schemes

 # of children covered and identified by community systems, who received 6 basic services in the last 12 months: education, health, money transfers, food assistance, psycho-social support and legal support (including birth registation). Base line:
65.000 vulnerable children. Target: 205,000 vulnerable children.

 % of beneficiaries receiving Direct Food Support (WFP) and basic packages (UNICEF) are provided using Direct Social Support Programme implementation mechanism of the INAS. Baseline: 3,000 beneficiáries receiving basic support packages
(2006); Target: 14,000 beneficiáries recieving basic support packages (cumulative 2007 – 2011)
Expected Results
(Outputs)
3.4.1 Coordination
capacity of the Ministry of
Women and Social Action
has been strengthened to
coordinate the
implementation of the
National Plan for Children
and provide social
protection plans.
Indicators, Baseline and
Targets
# of MMAS directorates at
provincial and district level with 2006-2010 National Plan of Action for OVC has been undertaken to identify the
updated information on public
sector service delivery and civil
society interventions.
Baseline: 5 (2006)
Target: 11 provinces, 7 model
districts and all districts in
Sofala province
Results 2010 Means of Verification Responsible Agency Assumptions and Risks
An evaluation of both the 2005-2010 National Plan of Action for Children and the PASC implementation Annual Report UNICEF Assumptions:
DPMAS quarterly reports, The MMAS is responsible
impacts of these plans on children’s wellbeing. The findings and Monitoring visits reports: GTCOV, for planning and
recommendations from the evaluation arre influencing and guiding the revision of NUMCOV minutes coordination at provincial
a new policy framework for children, which is expected to be approved by June and district level, including
2011. NUMCOVs.
Technical support was provided to develop a Minimum Package of Care and DPMAS has capacity and
Support for OVC, which focuses on quality standards for education, health, is committed to providing
nutrition and food, legal, financial and psycho-social support. The draft package support and accompanying
was approved by the MMAS Consultative Council and the Package is being at local level.
piloted in 3 provinces. , When the pilot has been completed the key lessons and
recommendations will feed into the revision of the Package, before approval by Risks:
the Council of Ministers and roll-out to all provinces. Weak capacity at
provincial and district level
After an initial delay, political and technical level commitment to strengthen the to plan and coordinate
national M&E system was secured in October and will be taken forward to interventions for OVCs.
harmonise the national M&E system with existing electronic and paper based
systems at provincial and district levels, with a specific focus on OVC data.

MMAS has officially requested UNICEF’s support, together with USAID, to

harmonise the national M&E system with existing electronic and paper based
mechanisms existing at provincial and district levels. Technical discussions with
MMAS, USAID, MEASURE and EUROCIS are ongoing about phasing
implementation of the national M&E system at provincial level, with a specific
focus on OVC.

Technical and financial support was provided to MMAS and DPMAS to

coordinate OVC related activities through the Multi-Sectoral Nucleus for OVC

24

3.4.2. Ensure that at
least 205,000 orphaned
children and their families
have access to six basic
services defined in
PACOV (health, nutrition,
education, psycho-social
support, legal assistance,
financial support) and
provide support with the
basic package of materials.
3.4.3. A joint
provincial strategy for the
adaptation of the JFFLS
curriculum and
methodology designed and
implemented
Number of OVCs identified by
community based systems that
have recieved the 6 basic
services in the last 12 months.
Baseline: 65,000 (2005).
Target: 205,000
(the same indicator as for
Outcome 3.4)
# of families that develop
income generation activities
Baseline: 1,800
Target; 5,000
Provincial strategy for JFFLS
training programme completed
and implemented
and the Technical Working Groups for OVC, as well as conducting supervision
visits.
Technical support has been provided to MMAS around development of a
sustainable productive safety net strategy and technical assistance has been
provided for the development of alternative delivery modalities (vouchers, cash,
in-kind), and capacity to manage food assistance. Furthermore, technical support
has been provided to MMAS for OVC food assistance committees in relation to
targeting, operational planning, monitoring and quality assurance of basic services
provided by NGO partners.
The Module of Care and Support for Orphaned and Vulnerable Children was not
rolled out and the capacity gap analysis not undertaken due to lack of direction
and commitment from MMAS.
233,413 OVCs have accessed three or more services in 2010 as a result of DPMAS quarterly reports; UNICEF Assumptions:
DPMAS and NGO support. (data from Nampula, Zambezia and CBOs still NGO semi-annual reports, WFP Strong capacity and
lacking). RENSIDA quarterly reports, sensitivity in gender at
monitoring visit reports community level to
Technical and financial support provided to the 7 CBOs, resulting in 16,052 identify and provide girls
children receiving direct material support and being referred to other services with support.
(data from Nampula and Zambezia still missing).
M&E systems at
26,343 children covered with direct material support as well as referral to other community level have
basic services (data from 3 districts still missing). Support provided to MMAS in tools to: (1) identify the
the implementation of the protection component in the Child Friendly Schools OVCs beneficiaries only
initiative, with particular emphasis on the referral of Vulnerable Children to basic when they receive the 6
services with the school as the centre of care. services, and for each
service; and (2) The kind
48,900 OVC from 7 provinces received monthly food support integrated with of support they need is
basic services, provided by 91 community-based organizations and national and provided for each child,
international NGOs in 37 districts. and not only the number of
services provided.
3,060 people capacitated in small business development and access to micro
credits Risks
Girls are not systematically
identified, and they are
becoming increasingly
vulnerable.
Double counting of
OVCs.
Lack of analysis and
validation of data on what
each child needs and what
has been provided to them.
10 days field assessment conducted in Manica and Sofala provinces to collect JFFLS project report FAO
information on JFFLS implementation
One regional seminar held for the presentation of the assessment results
1,740 youth participated in JFFLS programme
25
 HIV & AIDS MAINSTREAMING
OUTCOME 3.5: The provincial plans of the public sector, the action plans of the networks of Civil Society and the business plans of the proivate sector integrate HIV and AIDS, gender and natural disasters, including the respective budget for their
implementation.
 % of sector plans integrating HIV and AIDS, gender and natural disasters in the provinces of Maputo, Sofala, Manica, Zambézia and Tete (Baseline: 0%; Target: 50
Expected Results
(Outputs)
1. A national mechanism
for the establishment of a
critical mass of specialists
on HIV and the
feminization of HIV and
AIDS has been created, to
reinforce Government
institutions, associations,
the informal sector, civil
society (including youth
associations and centres).
2. Tools and
methodologies for
monitoring HIV, AIDS and use the tools, knowledge of
gender applied by 180
government officials and
trade unions in planning
and performing sectoral
programmes and plans.
3. HIV, AIDS and gender
issues integrated into the
training plans of
government and Civil
Society Organizations.
4. Sexual and
Reproductive Health
component, HIV, AIDS
and gender integrated into
the conceptualisation of
training programmes for
marginalized groups
(prisoners, disabled people,
etc.)
Indicators, Baseline and Results 2010 Means of Verification Responsible Agency Assumptions and Risks
Targets
# of small and medium In partnership with MONASO and AEFUM, 578 civil society organizations Reports on planned activities based on IOM Risks:
enterprises with policies on HIV, members have been trained on the integration of HIV and AIDS into their plans policy UNDP Late provision of funds for
gender and disasters (Baseline: and programmes. ILO the implementation of
220 SMEs within the formal and UNAIDS programmes.
informal sectors implementing Technical support has been provided to groups of civil society organisations that UNFPA
HIV programmes and policies; are part of PEN III, thereby guaranteeing the continuity of contribuitions and the UNESCO
Target: 550 small and medium inputs of the civil society in the process. Support for the development of an UNIFEM
enterprises with policies on HIV, Implementation Strategy of PENIII for Civil Society.
gender and disasters.
Technical support provided to 4 civil society organizations in the area of HIV
integration.
# of government technicians, PEN III has been approved and operationalized at central and provincial level. Regular monitoring documents UNAIDS Risks:
employers and trade unions who IOM Late provision of funds for
District decentralized planning taking place in the provinces of Maputo and Action plan reports UNFPA the implementation of
monitoring and HIV integration Inhambane with the participation of 12 districts in the Province of Inhambane and INGC programmes.
in the planning and performance 7 districts in Maputo SINTRAT
of sectoral programmes and ECOSIDA OTM-CS
their action plans (Baseline: 0; CONSILMO
Target: 180 Government MTC
téchnicians, 50 employers and
100 trade unions)
# of networks of Civil Society Technical support provided to parliament in the implementation of HIV Action plan reports UNDP Risks:
Organisations trained in the programmes in the working place, using the UN Cares model. UNAIDS Late provision of funds for
integration of HIV, gender and IOM the implementation of
natural disasters into their action ILO programmes.
plans. (Baseline: 4 networks UNIFEM
trained in integration of HIV and PARLIAMENT
gênder into their action plans: MPD
Target: at least 3 Civil Society MAE
networks have been trained in CNCS
HIV and gender and natural OMS
disasters in the action plans)
# of training sessions integrating In partnership with UNFPA and CNCS, representatives of civil society Reports of training sessions with ILO Risks:
sexual and reproductive health, organizations working on female condoms. These organisations are expected to different groups MIGRATION Late provision of funds for
HIV/ AIDS and gender replicate and promote the use of female condoms in the districts in their SINTRAR the implementation of
Baseline: 0 provinces. ASSOTSI programmes.
Target: RENSIDA
UGCAMIMO
MoL
CBOs
UNDP
26
 M&E
Expected Results
(Outputs)
3.6.1. Budgeted,
integrated and operational
plan, financed up to at least
50%
3.6.2. The capacity of
the CNCS and other
partners has been
strengthened at central and
provincial levels for the
use of the information on
HIV, based on evidence
from planning and decision
making processes.
3.6.3. Strategic
information provided to
document the produced
and disseminated national
response, including the
institutionalization of
expenditures for AIDS
(NASA, UNGASS and
other studies and
assessments).
Indicators, Baseline and
Targets
% of guaranteed funding for the
implementation of the Integrated
and Budgeted National Plan for
M&E: Target: at least 50%
(2010) of funding guaranteed;
Baseline: to be determined at the
end of 2009.
# of quarterly reports produced
by CNCS at central and
provincial levels: Target: 4
quarterly reports and 1 annual
report: Baseline: to be
confirmed.
# of reports and studies carried
out and disseminated by the
CNCS: Target: 4 studies carried
out: (NASA, UNGASS 2010)
Qualitative study on MCP and
gender, and mapping of hot
spots and corridors:
Baseline: (N/A)
Results 2010 Means of Verification Responsible Agency Assumptions and Risks
PIMA has been evaluated using the tool recommended by UNAIDS for the first Annual briefing on PIMA funding and UNAIDS Assumptions:
time. It was the first experiment so it involved the CNCS staff at central level implementation UNFPA Political support by the
only. Budget aspect has not been evaluated. The current priority is to design a new ILO central, provincial and
PIMA for 2011 to 2014 WHO
district government
Available funds for the
implementation of
programmes
Complementary funds
from partners available.
Risks:
Late provision of funds for
the implementation of
programmes.
By November 2010, 1 annual report of CNCS for 2009 and 1 semi-annual report Quarterly and annualNAC reports. UNAIDS Risks:
for the first semester of 2010 were produced. Although the reports were produced, WHO Late provision of funds for
they still lack an acceptable level of quality and organization in the way that the the implementation of
key information is presented for decision-making. programmes.
Reports and disseminated studies of UNGASS 2010, MEGAS 2007 and 2008 Reports and studies of UNGASS, UNAIDS Risks:
have been carried out and supported, approval of MOT, Data Triangulation, NASA and MOT have been ILO Late provision of funds for
INSIDA, and Estimates of HIV and AIDS. disseminated. UNODC the implementation of
IOM programmes.
A study on vulnerability and risk of infection with HIV among men who have sex The Report is available. UNFPA
with other men in Maputo City has been carried out and disseminated.
The Report is available.
Mapping of hot spots and corridors in Beira and Tete.
In progress.
A survey is in progress in the corridor of Nacala to assess the level of
vulnerability to HIV by mobile populations, including the mapping of health
services.
A sub-system of M&E for the private sector has been designed
The available M&E tool is in use
27
 Annex IV: 2011 Joint Programme AWP
HIV JP Prevention Annual Work Plan 2011
Agencies: WHO, UNICEF, UNFPA, UNESCO, UNHCR, IOM, ILO
COMMUNICATION COMPONENT
PLANNED BUDGET
TIMEFRAME
RESPONSIBLE
EXPECTED RESULTS KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount Source of
Planned
Allocated Funds
Amount
1. National Communication for HIV Prevention 1.1 Documentation and dissemination of HIV&AIDs intervention: X X X X UNESCO 40,000.00 0.00
Strategy and Plan (integrated in PEN III) a)Work Place Policy and b) Socio Cultural Approach
implemented under enhanced CNCS coordination 1.2. TA and financial support provided to community radio stations in X X X UNESCO 55,000.00 55,000.00
and civil society (including youth) participation, selected districts, in the broadcasting of complementary HIV&AIDs
adequately addressing MCP and stigma as key specific programmes to reinforce mobilization for testing, condom use,
drivers of the pandemic. PMTCT, male circumcision and stigma and discrimination
1.3. Dissemination of the communications products on the results of the X X UNESCO 10,000.00 0,00
impact of the application of Socio Cultural Approach in the prevention of
HIV&AIDS in the WAD in Maputo
1.4. Support advocacy for stronger involvement of traditional health X X UNESCO 5,000.00 0,00
provision and in particular HIV and AIDs prevention (celebration of
World Day of Traditional Medicine)
15. Continuation and extension of activities in the port of Beira looking at X X X X IOM 72,000 72,000
the port users, their immediate surroundings and the other groups they
interact with (specifically truck drivers, ship crew members and sex
workers).
1.6. Continuation and expansion of HIV prevention messages and X X X X IOM 23,733 23,733
information radio programmes aimed at migration-affected communities
along the Nacala corridor
1.7. Increase youth dialogue on HIV prevention through increased use of X X UNFPA 3,000.00 0.00
social communication tools radios, facebook, email, twitter, Mig etc)
1.8. Insert components of HIV Prevention and ASRH, Gender Based X X UNFPA 17,000.00 0.00
Violence, Human Rights, Stigma in the youth specific television
programme ("mais jovem")
1.9. Contribute to the effective and efficient implementation of the PEN X X X UNICEF
III communication strategy, ensuring:
• Coordinated implementation of the communications operational plan;
• Support to regular functioning of CNCS technical communication group
and provincial level fora;
• Strengthened coordination of the CSO Forum and involvement of
NGOs/CBOs and Youth Associations in all decision-making processes
• Triangulation of existing data to understand the situation of youth and
HIV
1.10. Support the continuation of the MCP campaign nationally, using the X X X UNFPA 25,000.00 5,000.00

28
 youth & men engagement approach (with focused communication on X X X UNICEF X X
youth and intergenerational sex in 75 priority districts) through radio,
theatre, mobile unit, and youth mobilisation activities, including:
- Updating the strategic plan (Year 2);
- Supporting advocacy efforts to increase civil society and youth
involvement;
- Production of localized audio visual content targeting youth.
1.11. Support radio youth and children’s clubs and weekly production and X X X X UNFPA 3,000.00 3,000.00
dissemination of youth to youth (zona quente, é tempo de saber, Mama
Biz) and child-to-child radio programmes through 11 RM delegations, X X X X UNICEF 220,000 100,000
Radio Cidade, including training of new producers in 11 provinces, 60
community radio stations and 4 provincial TVM delegations
1.12. Develop a communication strategy for HIV prevention training X X X X UNICEF 50,000.00 20,000.00
package ("the how to…") to be used by CNCS and communication
partners for delivering C4D training at provincial level.
1.13. Examine feasibility of establishing strategic alliances with premier X X X X UNICEF TA TA
national and international academic institutions to develop structured C4D
training and research programmes supporting systematic capacity
development and knowledge management.
X UNICEF 50,000.00 20,000.00
1.14. Support roll out of the simplified stigma and discrimination module
across 2 refresh TOT, 3 regional (OVC programme) and 7 district (School
Awareness Programme) RENSIDA training sessions involving the 32
qualified provincial trainers, and advocate for nationwide use of the
module by MMAS and MINED
1.15. Integrate S&D content into regular social mobilization activities, X X X X UNICEF 30,000.00 5,000.00
including the production and broadcasting of programmes through Radio
Mozambique through a strengthened collaboration between RENSIDA
stigma trainers and provincial C4D partners (MISA, ICS, CNJ and RM).
1.16. Strengthen the Child Friendly Media Network to involve 350 X X X X UNICEF 130,000.00 130,000.00
journalists as members and publish at least 1,900 articles on child rights
issues, with a focus on HIV, in the press nationwide, contributing to the
creation of social demand for the realization of child rights through
balanced and sensitive reporting
1.17. Partnership for the production and broadcasting of a radio X X X UNICEF 100,000 0
entertainment-education drama serial based on Facts for Life selected
content (establishment of the content design team in RM)
1.18. Multimedia mobile units and theatre activities promoting social and X X X X UNICEF 200,000.00 100,000.00
behaviour change (including counselling and testing services) in 80% of
localities in 75 districts of eight provinces
2. Information related to sexual minorities 2.1. Support the maintenance and improvement of Lambda Webpage X X X X UNFPA 20,000.00 5,000.00
developed and disseminated portal
2.2. Support the printing and distribution of the Lambda Bulletin "The X X X X UNFPA 15,000.00 0.00
Colors of Love"
2.3. Develop institutional capacity for the Lambda communication X X X X UNFPA 30,000.00 20,000.00
department
2.4. Support the development of a leaflet with information related to facts X X X X UNFPA 30,000.00 10,000.00
and myths about HIV prevention in prison settings

29
 2.5. Support the development of a leaflet with information related to facts X UNFPA 8,000.00
and myths about homosexuality
TOTAL

MARPS COMPONENT
PLANNED BUDGET
TIMEFRAME
RESPONSIBLE
EXPECTED RESULTS KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount Source of
Planned
Allocated Funds
Amount
1. The development of programmes, strategies and 1.1. Expand and support the development and implementation of a X X UNESCO 90,000.00 45,000,00 45,000.00
coordination mechanisms for health promotion, capacity building programme for improved articulation of formal services
including prevention of STI/HIV for the MARPs with traditional healers in HIV&AIDS prevention
completed. 1.2. .Support the development and implementation of training programmes X X UNESCO 45,000.00 15,000.00 30,000.00
for the capacity building of formal health service providers at community
level in the application of the Socio-Cultural Approach
1.3. .Support the development and implementation of training programmes X UNESCO 45,000.00 25,000.00 20,000.00
in selected districts for the capacity building of traditional healers,
midwives and initiation rites officials in a scientifically accurate manner
1.4. Support the consolidation at district level of capacity building in the X X UNESCO 20,000.00 10,000.00 10,000.00
Socio-Cultural Approach to district directorates of Health and Education,
CBOs and Traditional Healers
1.5. Support for the capacity building of trainers (FUNAP-FPBG, ARPAC, X X UNESCO 40,000.00 0,00 40,000.00
IMT, MINED/DIPE, INDE)
1.6. Compilation and production of training materials for providers from X X UNESCO 20,000.00 0,00 20,000.00
the traditional system of SRH and Education
1.7. HIV-related capacity building activities with TEBA (The Employment X X X IOM 130,000 30,000
Beareu Africa) in mine-sending communities in Mozambique
2. Strengthened capacity of targeted support 2.1. Organize training programmes for the relevant government X X X X ILO 50,000.00 50,000.00
structures to implement HIV & AIDS/TB departments which have a role in implementing national policies and
prevention interventions along the transport strategies for HIV and AIDS projects in the transport corridors
corridors 2.2. Undertake capacity gap analysis of identified support structures and X X X X ILO 32,000 0
determine required interventions to improve prevention activities in
transport companies and informal business in transport corridors.
2.3. Assist enterprises to implement HIV workplace policies and X X X X ILO 60,000.00 60,000.00
programmes addressing critical issues on HIV and AIDS
2.4. Assist enterprises developing confidential voluntary counselling and X X X X ILO 50,000.00 10,000.00
testing (CVCT) services, and health services including relevant campaigns
such as " Feira de Saude"
2.5. Training of 75 support structure representatives on HIV prevention X X X X ILO 48,000.00 14,000.00
and data management
2.6. Provide support to new and existing wellness centres to integrate TB X X X X ILO 30,000.00 30,000.00
into HIV and AIDS training and counselling services

30
 2.7. Assist informal sector enterprises, women, business, cooperatives and X X X X ILO 35,000.00 30,000.00
their organizations to implement HIV and AIDS workplace policies and
programmes along transport corridors
2.8. Development of Information, Education and Communication materials X X X X ILO 25,000.00 5,000.00
(leaflets, brochures, pamphlets) for transport companies, communities and
informal businesses along transport corridors
3. Health and HIV & AIDS Prevention services 3.1. Support the development of BCC materials on HIV prevention with X X X X UNFPA 40,000.00 20,000.00
expanded for the population of LGBTI, Prisoners, information related to police services
Sex Workers and People with disabilities (PPD) 3.2. Support the development of a minimum curriculum in health & HIV X X X X UNFPA 10,000.00
to be integrated in the police services
3.3. Conduct ToT and training of peer educators in issues related to HIV & X UNFPA 150,000.00 50,000.00
AIDS in the police services
3.4. Conduct training for sex worker peer educators in Maputo, Zambezia, UNFPA 120,000.00
Manica & Sofala X
3.4. Support the development of the comprehensive health guide for UNFPA 20,000.00 10,000.00
LGBTI X
3.5. Conduct training for LGBTI peer educators in two provinces X X X UNFPA 50,000.00
3.6. Conduct ToT and training of PPD HIV and AIDS issues , specific to X X UNFPA 120,000.00 20,000.00
PPD & health service providers
3.7. Conduct ToT and training of peer educators on issues related to HIV X X UNFPA 120,000.00 20,000.00
& AIDS in prison settings for staff and prisoners
3.8. Support the establishment of health libraries in prison settings X X X X UNFPA 30,000.00
3.9. Support MMAS in the development of the guidance tool to orient X X X X UNFPA 25,000.00
strategies and policies about HIV Prevention and Promotion of SRH for
PPD
3.10. Support night clinics providing services to sex workers in four (pilot) X X UNFPA 50,000.00 20,000.00
provinces
4. Improved HIV prevention, treatment, care and 4.1. Produce BCC/IEC specifically for peer educators in Swahili & other UNFPA 20,000.00 0.00
support strategies tailored for refugees local languages
4.2. Support training in HIV prevention for peer educators and health UNFPA 20,000 10000
workers in Marratane Camp and Nampula City UNHCR 10,000 10,000
4.3. Support to urban refugees in prevention, treatment, counselling and UNHCR 40,000.00 10,000 (RR)
testing.
4.4. Support to the Health Centre in Marratane Camp UNHCR 17,000.00 0.00
TOTAL

COUNSELLING & TESTING COMPONENT

PLANNED BUDGET
TIMEFRAME
RESPONSIBLE
EXPECTED RESULTS KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount Source of
Planned
Allocated Funds
Amount
1. ATS services expanded to cover targeted 1.1. Mobilize families of mineworkers for prevention and testing for HIV X X UNESCO 55,000.00 0,00 55,000.00
populations and AIDs in selected communities
1.2. Support the national C&T campaign X X X UNFPA 500,000.00 130,000.00

31
 1.3. Assure the integration of adolescent and youth components in the X X X X UNFPA 180,000.00 50,000.00
health mobile units in order to expand youth health related services to the
community
1.4. Strengthen capacity for adolescent health services delivery at national X X X UNICEF 70,000.00 20,000.00
and provincial levels
TOTAL

YOUTH COMPONENT
RESPONSIBLE PLANNED BUDGET
TIMEFRAME PARTY
EXPECTED RESULTS KEY ACTIVITIES
Q1 Q2 Q3 Q4 Amount
Source of Funds
Planned Amount Allocated

1. Increased participation of young people in 11. Expand introduction to SRH education in intra-curricular activities at X X UNESCO 40,000.00 13,000.00 27,000.00
national and provincial fora and community school level in the districts
committees and school councils 1.2. Provide technical support for youth dialogue through youth platforms X X UNFPA 140,000.00 40,000.00
and promote youth participation in the planning of public policies and
strategies
1.3. Support the implementation of SRH scientific workshops and fairs for X X X X UNFPA 30,000.00 30,000.00
youth, as well as the promotion of SRH including and family planning and
HIV prevention
1.4. Support 20 provincial youth associations to implement HIV X X X X UNFPA 450,000.00 0.00
prevention activities and contribute to the strengthening of youth networks
nationally
1.5. Support 2 provincial CPJ PARPA briefings for 75 youth associations, X X X X UNICEF 35,000.00 20,000.00
and ensure and monitor their effective participation in development
observatories, consultative committees and school councils in 8 provinces.
2. 150 youth associations implementing peer 2.1. Strengthen the technical capacity of CPJ (through regular TA and X X UNICEF 100,000.00 50,000.00
communication programmes on HIV and AIDS exchange of experience) to produce quality weekly community radio
prevention in at least 75 districts in eight programmes and debates on HIV prevention (focusing on stigma and MCP)
provinces in 40 community radio stations in 8 provinces.
3. At least 1,000,000 children aged 10-14 in 3.1. Support PLWHIV associations to implement school awareness X X UNICEF 1,550,000.00 280,000.00
primary schools in 11 provinces including seven programme on life skills, including HIV/AIDS and gender awareness in 11
CFS provinces have correct information, provinces including 7 CFS districts.
attitudes and relevant skills to reduce the risk 3.2. Support the operationalization of school club criteria and monitoring X X UNICEF 80,000.00 80,000.00
and vulnerability to HIV and adopt appropriate indicators, as well as the printing and dissemination of criteria.
life skills. 3.3. Support the implementation of existing life skills communication X X UNICEF 40,000.00 20,000.00
package on HIV & AIDS, including themes of gender, school health and
sport.
3.4. Support roll out of the single, harmonized framework and curriculum for X X UNICEF 220,000.00 100,000.00
ONE CLUB (school and radio), harmonizing the Os Bradas approach with
Pacote Basico’s life skills content through three Regional TOT (PLWHIV,
PB and MINED gender focal points), and regular support for scaling up club
interventions to 400 schools in 7 CFS districts (in collaboration with
Education and Child Protection).

32
 3.5. Support the functioning of 1,100 listeners groups, with focused attention X X UNICEF 50,000.00 40,000.00
on 7 CFS, to reinforce the link between school and radio clubs and ensure
regular cross-fertilization, and expansion of radio programmes impact.
3.6. Support printing and national roll-out of the use of Participatory Child X X UNICEF 100,000.00 50,000.00
Rights Clubs activity modules on prevention of violence and abuse,
including the teacher’s guide, in 7 CFS districts and beyond in collaboration
with MINED (in collaboration with Education and Child Protection)
3.7. Support the implementation of the STAR strategy (HIV prevention X X X UNFPA 30,000.00 10,000.00
through literacy activities targeting illiterate young people)
3.8. Support campaigns using the “men engagement” approach to influence X X X X UNFPA 60,000.00 10,000.00
young men to reflect on social norms in relation to HIV prevention and
gender issues
3.9. Adapt communication material on “men engagement” and Gender X X UNFPA 30,000.00 0.00
Based Violence used by PROMUNDO to the Mozambican context.
3.10. Expand HIV prevention activities to places where young people X X UNFPA 100,000.00 50,000.00
frequently meet (night clubs, hair salons, barber shops, football stadiums,
markets etc)
3.11. Implement girls´ support groups at schools and communities covering X X UNFPA 40,000.00 20,000.00
girl’s empowerment, alcohol, drugs and violence
3.12. Implement activities for the commemoration of key annual & cultural X X UNFPA 100,000.00 40,000.00
events in relation to young people and& HIV
3.13. Support youth associations to mobilize young people to adhere to X X UNFPA 50,000.00 20,000.00
YFHS
3.14. Support youth associations to promote the use of condoms and& X X UNFPA 100,000.00 60,000.00
other contraceptives amongst young people, and make condoms available for
use by young people
3.15. Develop BCC material on HIV Prevention, including information on X X UNFPA 185,000.00 100,000.00
MCP, GBV, Ccondoms and, age-disparate relations, in posters, videos,
pamphlets ts….etc.
3,590,000 1,070,000
TOTAL

MALE CIRCUMCISION COMPONENT

PLANNED BUDGET
TIMEFRAME
RESPONSIBLE
EXPECTED RESULTS KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount Source of
Planned
Allocated Funds
Amount
1. Detailed district and provincial work plans for 1.1. Conduct an assessment of providers of male circumcision services in WHO 100,000.00 20,000.00
MC implemented in Gaza, Maputo province, Gaza, Maputo province, Maputo City and Inhambane
Maputo City and Inhambane 1.2. Support the development of detailed district and provincial work plans WHO 200,000.00 20,000.00
for MC in Gaza, Maputo province, Maputo City and Inhambane
1.3. Organize validation meetings of district and provincial work plans for WHO 120,000.00 20,000.00
MC in Gaza, Maputo province, Maputo City and Inhambane
1.4. Support the implementation of district and provincial work plans for WHO 330,000.00 30,000.00
MC in Gaza, Maputo City, Maputo province and Inhambane

33
2. Improved capacity of health care service 2.1. Field-test and finalize MC training modules for health care providers WHO 10,000.00 5,000.00
providers involved in scaling up access to safe involved in MC
MC services 2.2. Organize a training of trainers workshop for MC facilitators WHO 15,000.00 5,000.00
2.3. Conduct training sessions for health care providers involved in scaling WHO 35,000.00 5,000.00
up access to safe MC services in Gaza, Maputo province, Maputo City and
Inhambane
2.4. Translate into Portuguese, adapt, field-test and finalize MC training WHO 10,000.00 5,000.00
modules for traditional circumcisers
2.5. Organize training sessions for traditional circumcisers in Gaza, Maputo WHO 30,000.00 5,000.00
province, Maputo City and Inhambane
3. Monitoring and Evaluation reports of scaling 3.1. Organize mid-term review of the implementation of MC activities and WHO 18,000.00 3,000.00
up MC activities produced produce mid-term report
3.2. Conduct supervision visits to provide technical guidance and monitor WHO 12,000.00 2,000.00
the implementation of MC activities and produce field visit reports
3.3. Conduct a final evaluation of the implementation of district and WHO 20,000.00 5,000.00
provincial MC work plans and document lessons learnt and the way forward
in scaling up access to safe MC services in Gaza, Maputo province, Maputo
City and Inhambane
TOTAL 900,000 125,000

HIV JP Treatment Annual Work Plan 2011

Agencies: WHO, UNICEF, WFP
TREATMENT COMPONENT
PLANNED BUDGET
TIMEFRAME
RESPONSIBLE
EXPECTED RESULTS KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount Source of
Planned
Allocated Funds
Amount
1. The national HIV care and treatment 1.1 Policies, guidelines and strategies for HIV/AIDS treatment, care and X X X X WHO OMS :193,500 OMS: 20,000 OMS: VC
response (for children, adolescents and nutritional support developed/ updated, including:
adults) strengthened through increased - Support provided to the Ministry of Health to disseminate the newly released
coordination, capacity, and a functioning TB/HIV policy documents
information system - Technical assistance provided to support the development and reproduction of
the manual to integrate HIV services in the health sector
- Support the implementation of new patients register book, and clinical
evaluation

34
 1.2 Provide technical support, capacity building for the scale up of quality X X X X UNICEF UNICEF: UNICEF:
decentralized care, treatment and nutrition services for children living with WHO 200,000 100,000
HIV/AIDS and their parents with adequate policies, protocols, implementation
and monitoring and evaluation tools, including:
- Support to the staged implementation of revised guidelines
- Support to joint supervision and monitoring of health facilities at all levels
- Capacity building for multi-sectoral teams in paediatric ART
- Provide technical support and capacity building to other providers (Campaign
to Eliminate Paediatric AIDS partners) at national and regional levels
- Support monitoring, mentoring and quality clinical training
- Dissemination of tools including training and reproduction of materials for
psycho-social support and disclosure for adolescents
- Support coordination mechanisms between MCH/PMTCT and paediatric care
and treatment
2. Care, treatment and nutrition services 2.1 Increase quality of adult care and treatment services through capacity X X X X WHO WHO: WHO: 25,000 OMS: VC, one
strengthened for children exposed to and building, mentoring, quality assurance and provision of (limited) supplies and 200,000 UN fund
living with HIV, adolescents and adults in equipment including:
the existing and new ART sites in the - Technical capacity provided to health workers in Maputo Province through
country. training course targeting CVM volunteers on management of TB/HIV activities
at community level (Maputo, Gaza provinces)
- Training for Maputo Province clinicians on chronic and neglected diseases
management including HIV
- Training HW In Maputo Province on bio-safety measures in relation to HIV
and AIDS
- Training HW in Maputo Province on home based care management and
coordination
- Support to NGOs working on HBC, and community adherence groups in
Maputo and Gaza Province
- TOT for rational use of HIV medicines
2.2 Increase quality of paediatric care and treatment services through capacity X X X X UNICEF UNICEF: UNICEF:
building, mentoring, quality assurance and provision of (limited) supplies and WHO 700,000 220,000
equipment including: (100,000 One
- Capacity building provided to health staff and other providers (CEPA UN)
partners) at provincial, districts and health facility levels
- Clinical mentoring, strengthening of clinical teams, new technologies
provided
- Procurement and distribution of equipment and supplies for EID and early
initiation of ART
2.3 Support increased utilization of and adherence to comprehensive paediatric X X X X UNICEF UNICEF: UNICEF:
and adult care and treatment services through provision of information about WHO 420,000 88,000
its benefits and availability, as well as through psycho-social support, support WHO: 11,000 WHO: 0
groups, “buscas activas”, HBC
2.4 Support the integration of nutrition and HIV activities, and in particular in X X X UNICEF UNICEF: UNICEF :
relation to infant feeding, in services for HIV positive pregnant women and WFP 30,000 20,000
children exposed to and infected by HIV.

35
 2.5 Provide monthly nutritional supplements to 25,000 moderately X X X X WFP (with WFP: WFP: 100,000 WFP: One UN
malnourished patients on ART. MISAU /DPS 2,600,000 funds
clinical partners
2.6 Provide monthly nutritional supplements to approximately 8,500 children X X X X WFP WFP: 890,000 WFP: 490,000 WFP: One UN
under five at risk and on ART funds, USAID

2.7. Promotion of nutrition education based on nutrition values of traditional X X UNESCO 46,000.00 46,000.00 0,00
food for the immune system strengthening (using community radio stations)
2.8. Support the implementation of model for the promotion of the production X UNESCO 30,000.00 30,000.00
of traditional food for PLWHIV in selected districts
TOTAL 3,591,000 1,139,000

HIV JP PMTCT Annual Work Plan 2011

Agencies: UNICEF, WHO, WFP
PMTCT COMPONENT
PLANNED BUDGET
EXPECTED RESULTS TIMEFRAME
RESPONSIBLE
. KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount Source of
Planned
Allocated Funds
Amount
1. The PMTCT National Operational Plan 1.1. Provide technical support and capacity building to implement X X X X UNICEF: UNICEF:
strengthened, through strengthened capacity, a PMTCT component in the integrated plan for MDGs 4 & 5 with adequate 250,000 80,000
strengthened information system, and policies, protocols, implementation and monitoring and evaluation tools,
implementation of the PMTCT revised including: WHO (*): WHO: 0
guidelines in the context of Prevention - Support to reproduce and distribute M&E tools on MCH, PMTCT manuals 50,000
Accelerated Plan. and job aids, and MSG tools*
- Capacity building for health staff and other providers (Campaign to
Eliminate Paediatric AIDS partners) at national and regional levels*
- Support production, sharing and dissemination of global, regional and local
evidence related to the elimination of paediatric AIDS
- Support for the introduction of new technologies (i.e. feasibility assessment
of the introduction of the Mother-Baby Pack (MBP)
- Support PMTCT national evaluation*
2. Quality integrated PMTCT services in 2.1. Improve quality of MCH services (ANC, maternity, postpartum and child X X X X UNICEF: UNICEF:
ANC, maternity, postpartum, and CCR are at-risk consultation) integrating PMTCT, through pre-service and on-the job 750,000 300,000
provided training, clinical mentoring, supportive supervision and strengthening of the (150,000 One
M&E system, including: WHO *: UN)
- Capacity building to health staff and other providers (CEPA partners) at 100,000
provincial, districts and health facility levels* WHO: 50,000
- Clinical mentoring and use of new technologies
- Procurement and distribution of equipment and supplies for the improvement
of access to most efficacious PMTCT regimens*
2.2. Provide monthly nutritional supplements to malnourished HIV+ pregnant X X X X WFP WFP : 774,000 WFP: 174,000 WFP: One Un
and lactating women in PMTCT programme MISAU funds, USAID
clinical partners

36
 2.3. Implement communication and psycho-social support activities (mother X X X X UNICEF: UNICEF:
support groups, busca activa and other community interventions), in UNICEF 500,000 60,000
collaboration with programme communication section, to ensure increased WHO
demand for, and adherence to, PMTCT services, including: WHO * : WHO: 0
- Mother support groups* 100,000
- Male and family involvement in PMTCT (separated or within HIV CT
national campaign)
- Other community activities for the promotion of health seeking behaviours
and community acceptance of MCH including PMTCT*
3. Increased utilization of and adherence to 3.1. Mobilize traditional leaders for awareness raising among the population X X UNESCO 52,000.00 35,000.00 17,000.00
PMTCT services: 80% acceptance of HIV for PMTCT in selected communities
testing for pregnant women and 80% uptake of
3.2. Joint missions for planning and monitoring of activities at provincial and X X UNICEF Technical
ARV prophylaxis for pregnant HIV + women
district levels WHO assistance/staff
and children in integrated PMTCT services
WFP time
nationally, contributing to reaching the MoH
MoH focal
target for PMTCT by end 2011
points
4. Strengthen the Interagency Coordination 4.2 Ensure regular interagency coordination meetings and linkages with the X X X X UNICEF Technical
mechanisms within PMTCT sub-group pediatric sub-group WHO assistance/staff
WFP time
MoH focal
points
4.3 Support and participate in the joint review process for PMTCT and X UNICEF Technical
paediatric treatment WHO assistance/staff
WFP time
MoH focal
points
TOTAL 2,176,000 699,000

HIV Mitigation Annual Work Plan 2011

Agencies: UNICEF, WFP, FAO, ILO

MITIGATION COMPONENT
PLANNED BUDGET
EXPECTED RESULTS TIMEFRAME
RESPONSIBLE
. KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount
Source of Funds
Planned Amount Allocated

37
1. Institutional capacity of MMAS strengthened 1.1. Technical and financial support provided to DPMAS to co-ordinate and X X X X MMAS $205,000 $150,000 $45,000
at central, provincial and district level to monitor vulnerable children related activities in 10 provinces in line with the (Francisca Sales, GC/06/0413
implement, coordinate and monitor vulnerable new Plan of Action for Children. Department of
children’s access to quality services in line with Social Action; $45,000
the national policy framework for vulnerable Francisco SC/06/0369
children. Pagule,
Department of $60,000
Planning and SC/06/0748
Coordination)
$55,000
UNICEF Unfunded

WFP $15,000 $15,000 OR

2. A joint provincial strategy for the adaptation 2.1 Support the establishment of provincial strategy to institutionalize the X X FAO $300,000 $100,000 OF
of the JFFLS curriculum and methodology JFFLS methodology at regional and district level. MINED
designed and implemented. MINAG Unfunded
MMAS, CNCS $200,000
3. Affected families supported on economic 3.1 Support the development of ASCAS in Maputo, Gaza, Sofala and Tete X X X ILO $50,000 $10,000 OR
empowerment to reduce vulnerability and provinces. ADELS
mitigate HIV&AIDS impact among their INEFP Unfunded
household ASSOTSI 40,000
UGC
3.2 Support the development of small business and vocational training X X X ILO $35,000 Funded OR
through INEFP in Sofala and Gaza covering 1500 beneficiaries. ADELS 15,000
INEFP Unfunded
ASSOTSI 20,000
UGC
3.3 Organize trainings on business development using ILO tools (Start and X X X ILO $20,000 Funded OR
Improve Your Business) for 500 people. ADELS 5,000
INEFP Unfunded
ASSOTSI 15,000
UGC
4. Relevant activities in Sofala and Manica 4.1. Activities in Sofala and Manica provinces X X X X UNICEF $600,000 Funded Unfunded
provinces ILO 0 600,000
FAO
WFP
TOTAL 1,210,000 280,000

38
 HIV JP Mainstreaming Annual Work Plan 2011
Agencies: UNDP, UNAIDS, IOM, ILO
MAINSTREAMING COMPONENT
PLANNED BUDGET
TIMEFRAME
RESPONSIBLE
EXPECTED RESULTS KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount Source of
Planned
Allocated Funds
Amount
1. National mechanisms for the establishment of 1.1. Provide support to MINED for the expansion of HI and AIDs work X X UNESCO 100,000.00 50,000.00 50,000.00
mass specialists on HIV and AIDS and place policy at school level in selected districts
feminization of HIV and AIDS for the creation 1.2. Provide technical assistance to MINT for the integration of HIV and UNDP 20,000 0 20,000
AIDS in their plans and programmes.
and strengthening of Government institutions,
1.3. Technical support provided to MONASO to conduct a national X X X UNDP $45.000 $45.000 $25.000OR
associations, associations of informal vendors, workshop for HIV mainstreaming facilitators to exchange experiences, and MONASO $20.000 RR
civil society (including junior associations and contract a service provider to maintain the MONASO website, its integration UNDP
centres). in the SIF and staff on-the-job training
1.4. Conduct a study on the Maputo Corridor (Maputo- Namaacha- X IOM 122.500 122.500 $75.000 OR
Swaziland) to assess the impact and the causes of high rates of HIV and UNDP IOM
AIDS infection and services available in the area UNAIDS 47.500 UNDP
ILO
MTC
1.5. Training for members of parliament on HIV and AIDS and Human X UNDP $10.000 $10.000 $10.000 RR
Rights Parliament UNDP
1.6. Capacity building of key ministries in several PEN III thematic areas X UNDP $45.000 $45.000 $45.000 OR
and training of key officials in the planning sector at the level of key CNCS/MPD UNDP
Ministries and Provincial Governments in the use of mainstreaming
mechanisms, instruments and guidelines
1.7. Support provided for the compilation, printing and publication of the 2nd X X UNDP $30.000 $25.000 $25.000 OR
edition of the book SIDA in Mozambique UNFPA UNDP UNDP
ILO $5,00 $5,000 RR
UNAIDS UNAIDS UNAIDS
Aro Juvenil
2. Tools and methodologies for monitoring and 2.1 Support the intervention capacity of key emergency response actors X UNAIDS 45,000 45,000 45,000 RR
integration of HIV and AIDS and gender (NGOs; DRR committies) to address the HIV, gender and human rights IOM UNAIDS UNAIDS UNAIDS
provided to 180 Government focal points and needs of key populations at risk and PLHIV and other vulnerable people. UNFPA
INGC
Trade Unions for the planning and execution of
2.2 Production and printing of IEC material with information on good X UNDP $5,000 $5,000 $5,000 OR
sectoral programmes and Operational Plans practices around the integration of HIV and AIDS in plans and programmes MONASO
2.3 Support capacity building of constituents (SME, Transport Sector) to X X X X ILO 50.000 0,00 50.000 OR
develop comprehensive workplace policies and programmes integrating TB IOM (ILO)
UNAIDS
SINTRAT
ECOSIDA
OTM-CS
CONSILMO

39
2.4 Training on HIV and Business Development Services (SIYB) and gender X X X ILO 40.000 10.000 10.000 RR
issues for SMEs, informal organizations and trade unions in Maputo, Gaza, UNDP ILO 30.000 OR
Manica and Sofala provinces UNIFEM
UNAIDS
ADEls, CBOs,
OTM,
CONSILMO
2.5 Support the development of HIV and AIDS programmes for Transport X X ILO 50.000 10.000 40.000 OR
Sector organizations/institutions UNAIDS ILO (ILO)
IOM
UNDP
SINTRAT
MTC
CFM
2.6 Publication of a compilation of national and international HIV and AIDS X UNDP $20.000 $20.000 $20.000 OR
and Human Rights related instruments
2.7 Conduct a study on HIV, sex work nad poverty in Maputo City X X X X UNDP $35.000 $35.000 $35.000 OR
and conduct studies on CAP to inform and assess communication CNCS, UEM-
interventions (Dept of
Sociology)

2.8 Conduct capacity building for informal sector organizations on how to X X X ILO 30.000 0,00 30.000 OR
develop and implement gender sensitive HIV/AIDS and TB programmes ASSOTSI
OTM
ECOSIDA
UGC
2.9 Organize 6 workshops to train partners on HIV, TB and gender X X X ILO 20.000 20.000 20.000 RR
mainstreaming UNDP (ILO)
MoL
OTM
ASSOTSI

2.10 Support provided for Home Based Care (HBC), referral, and treatment X X X ILO 45.000 15,000 30.000 OR
for informal sector and cooperative members CDC ILO
ADELs
UGC
2.11 Enhance the capacity of provinces for the implementation of district X X X X UNDP $70.000 $70.000 $50.000 RR
plans to fight HIV and AIDS, under the principle of decentralization of the CNCS $20.000 OR
response.
2.12 Provide technical assistance (consultancy services) to key sectors X X X X UNDP $85.000 $85.000 $50.000 RR
within the scope of PEN III operationalization and establish a mechanism to CNCS $35.000 OR
include HIV and AIDS progress reports in the Government monitoring and
evaluation instruments (PES assessment)

40
 2.13 M&E activities (mainstreaming group members and partners) X X X X UNDP $45.000 45.000 $25.000 OR
UNAIDS $15.000 RR
ILO UNDP
UNFPA
UNIFEM
IOM
UNESCO
Project implementation evaluation X X UNDP and $25.000 $25.000 $25.000 RR
partners
3. Integration of HIV and AIDS and gender in 3.1 Capacity building for HCT clusters, CTGC and NAC members on X X UNAIDS 21,000 0 $21,000 RR
emergency training plans of Government and HIV/AIDS, gender and human rights needs programming and planning for UNIFEM UNAIDS UNAIDS UNAIDS
Civil Society Organizations. targeting key populations at risk and PLHIV in emergency preparedness and UNFPA
response. CNCS
3.2 Promote HIV at the work place and meetings between parliamentarians X UNDP 90.000 $50.000 $50.000 OR
and PLHA and vulnerable populations through appropriate media coverage UNAIDS UNDP UNDP
ILO $40,000 $10.000 RR
Parliament UNAIDS UNAIDS
$30.000 OR
UNAIDS
3.3 Training of final year university students on the integration of HIV and X UNDP AEFUM 50.000 50.000 40.000 RR
AIDS in plans and programmes, and for students participating in the 7th UNDP $10.000 OR
edition of the project “ferias desenvolvendo o distrito”
4. Development of training programmes for 4.1 Regional capacity building programmes targeting uniformed services X X X UNAIDS $45,000 $45,000 $45,000 OR
marginalized groups (prisoners, people living personnel (UNAPROC) on sexual and Gender Based Violence (SGBV), UNFPA UNAIDS UNAIDS UNAIDS
with disabilities, etc) that integrate sexual and HIV and Human Rights for more effective intervention in emergency INGC-
settings. UNAPROC
reproductive health, HIV and AIDS and gender
4.2. Integrate HIV/AIDS issue in vocational training curricula X X ILO 35.000 0,00 35.000 OR
components. UNDP (ILO)
INEFP
MoL
ADEL Maputo
4.3. Support coordination of the national response to address HIV in the X ILO $30.000 $30.000 $20.000 OR
transport sector, including technical and financial assistance in the strategic IOM UNDP
planning and policy development process UNDP
Ministry of $10.000 OR
Transport and ILO
Communication
4.4. Organize orientation meetings with cross border authorities managers to X X X ILO 30.000 10.000 10.000 RR
discuss steps to be undertaken in the integration of HIV/AIDS/TB in their Migration ILO 20.000 OR
strategies and cross border measures SINTRAT (ILO)
ASSOTSI
RENSIDA
UGC

41
 4.5. Facilitate an assessment to increase understanding of the health X X X IOM 73,500 73,500 73,500 RR
experiences and needs of Mozambican mine workers in South Africa, and UNAIDS IOM
support the development of a national action plan for the sector MoL
MoH
WHO
TEBA
AMIMO
CNCS
4.6 Support the Development of HIV and AIDS programmes for X X X ILO 30.000 0,00 0,00 RR
mineworkers and their families in Gaza province in partnership with AMIMO ILO 30.000 OR
AMIMO and the Ministry of Labour MoL (ILO)
CBOs
4.7. Support the operationalization of the National Action Plan to address X X X IOM 88,500 73,500 IOM 73,500 RR
HIV amongst Mozambicans employed in South Africa UNAIDS 15,000 IOM
MoL UNAIDS 15,000 RR
MoH UNAIDS
WHO
TEBA
AMIMO
CNCS
TOTAL 1,627,500 775,500

HIV JP M&E Annual Work Plan 2011

Agencies: UNAIDS, IOM, ILO
M&E COMPONENT
PLANNED BUDGET
EXPECTED RESULTS TIMEFRAME
RESPONSIBLE
. KEY ACTIVITIES
Q1 Q2 Q3 Q4 PARTY Amount
Source of Funds
Planned Amount Allocated

1. Integrated Monitoring and Evaluation Plan 1.1 Support the development and update of PIMA X X UNAIDS 5,000 0 One Fund
(PIMA), costed and financed up to at least 50% ILO
1.2. Provide technical support for the development of the M&E Plan for the X UNAIDS 25,000 0 One Fund
PENIII 2010-2014 OMS
UNFPA
ILO
2. CNCS and partners’ capacity strengthened at 2.1. Support the provision of capacity building for improved research and X X UNESCO 20,000.00 0,00 20,000.00
central and provincial level for the use of M&E to ARPAC and IMT
evidence-based information in the planning and 2.2. Hire technical assistance to support M&E activities at provincial level. X X X X UNAIDS 55,000 55,000 One Fund
decision making process. .2.3. Support the strengthening of institutional capacity to monitor the X X OMS 12,000 12,000
response at central and provincial level in the southern region UNAIDS
UNFPA
ILO
2.4. Support the NPCS of Gaza and Maputo provinces in the preparation of X OMS 3,000 3,000
annual implementation reports UNAIDS
UNFPA
ILO

42
 2.5. Conduct planning, monitoring and evaluation workshops for the OMS 60,000 15,000 WHO/One
strengthening of district HIV plans UNAIDS Fund
UNFPA
ILO
2.6. Provide support to MJD, MISAU and MINED technicians in the x UNFPA No cost UNFPA- RR,
management and utilization of Geração Bizz date base and strengthen their DANIDA- OR
capacity to supply information to the HIV national data base NORWAY-
OR
SWEDEN-OR
2.7. Joint supervision and field trips with NAC and NPCS in at least 2 X X UNAIDS 10,000 8,000 One Fund
provinces. OM
3. Strategic information to document the HIV 3.1 Integrated Biological Behavioural Surveillance (IBBS) Study with X X X X IOM 350,000 350,000 UCSF (CDC)
national response produced and disseminated, Mozambican mine workers travelling to South Africa IOM – RR
including the institutionalization of NASA and 3.2. Support participation in international and national training workshops UNAIDS 20,000 0 One Fund
other relevant studies. and conferences.
3.3. Conduct an assessment of HIV and AIDS, ITS and TB in prison X X UNODC 150,000 100,000 UNODC-RR
settings. SNAPRI
3.4. Support the production of HIV and AIDS estimates. UNAIDS 10,000 10,000 One Fund
3.5. Support NAC in the development of NASA for 2009 and implement X X UNAIDS 50,000 50,000 DFID, Irish
NASA in 3 provinces, including training of technical staff. Cooperation,
One Fund
3.6. Provide technical support to NAC for the institutionalization of NASA X X X X UNAIDS 20,000 20,000 DFID, Irish
Cooperation,
One Fund
3.7. Undertake further analysis on children from INSIDA database UNICEF
(UNAIDS-UNICEF) if the final report doesn’t provide enough information UNAIDS
3.8. Conduct assessment of young people and HIV in Mozambique UNICEF
UNFPA
UNAIDS
3.9. Undertake Social Impact Assessment at the Mozambique/Tanzania X X IOM 150,000 0,00 One fund
border at Mtam Basala (Unity Bridge)
3.10. Conduct IBBS Study with mine workers and community in Tete X X X X IOM 350,000 0,00 One fund
Province (mine-receiving community)
3.11. Provide technical assistance to main stakeholders working with Labour X X X ILO 20,000 0,00
in the collection of data to feed theNAC M&E national system
TOTAL 1.310.000 603.000

43